摘要
目的:探讨儿童气管支气管异物导致气管内肉芽的成因、相关性及如何改善气管支气管异物的预后。方法:回顾性研究968例确诊为气管异物的患儿,其中74例患儿气管内伴生有肉芽,对患儿的性别、病程、出院时影像学进行分析。结果:男性患儿的气管内肉芽发生率为7.1%,女性患儿为8.8%,差异无统计学意义(P>0.05);64.9%的伴肉芽的患儿提供了异物史,84.7%无肉芽的患儿提供了异物史,提供异物史的患儿气管内肉芽发生率为6.0%,显著低于未提供异物史患儿的16.0%(P<0.01);伴肉芽的患儿出院时影像学上有肺炎表现的为31.1%,明显高于无肉芽的患儿的17.1%(P<0.01)。结论:性别与肉芽形成无关,异物史与肉芽发生有关,手术中尽可能取出肉芽,能改善气管支气管异物患儿的预后。
Objective： To detect the cause of tracheal granulation and its correlation with tracheobronchial foreign body in children,and find the means to improve the prognosis of tracheobronchial foreign body. Methods： The data of the gender,course of disease,imaging at discharge in 968 children with trachebronchial foreign body（ including 76 children complicated with tracheal granulation）were retrospectively analyzed. Results： The incidence rates of tracheal granuloma in male and female were 7. 1% and 8. 8%,respectively,the difference of which was not statistically significant（ P〉0. 05）. The foreign body history was identified in 64. 9% of the patients with tracheal granuloma and 84. 7% of patients without tracheal granuloma. The incidence rate of tracheal granuloma in patients with foreign body history（ 6. 0%） was significantly lower than that in patients without foreign body history（ 16. 0%）（ P〈0. 01）. The imaging performance of the pneumonia in 31. 1% of patients with granuloma at discharge was found,which was significantly higher than that in 17. 1% of patients without granuloma（ P〈0. 01）. Conclusions： The formation of granuloma is not correlation with gender,and is correlation with foreign body history. The removal of granulation during the operation can improve the prognosis of tracheobronchial foreign body.
出处
《蚌埠医学院学报》
CAS
2016年第6期759-761,共3页
Journal of Bengbu Medical College
关键词
气管异物
气管肉芽
儿童
trachebronchial foreign body
tracheal granuloma
children
