摘要
目的通过分析不同年龄段儿童上消化道异物特点及临床诊治方法,探讨消化道异物知识普及的必要性及电子胃镜取出的有效性。方法回顾该院1996-2017年收治的101例年龄小于18岁、行上消化道异物电子胃镜取出的患儿资料,分析上消化道异物性质、嵌顿位置、并发症及电子胃镜治疗的有效性。结果学龄期(6~<13岁)和学龄前期(3~<6岁)患儿发生上消化道异物的占比明显高于幼儿期(1~<3岁),差异有统计学意义(P<0.05)。101例患儿中食源性异物21例(20.79%),非食源性异物中以金属为主。学龄期患儿食源性异物占比明显高于学龄前期和幼儿期(P<0.05)。非食源性异物中,硬币占比明显高于其他金属异物(P<0.05)。硬币异物在学龄前期和学龄期患儿中的占比高于幼儿期(P<0.05)。青春期(13~<18岁)患儿常规性消化道异物(食源性异物和硬币)占比明显低于学龄期和学龄前期(P<0.05);青春期非常规性消化道异物(除食源性异物和硬币外)占比明显高于学龄期和学龄前期(P<0.05)。异物嵌顿于胃和食管的例数明显多于口咽部(P<0.05);食管上段发生异物的占比明显高于食管中段和食管下段(P<0.05)。消化道异物电子胃镜取出的总体成功率为97.03%;鼠齿钳是最常用的钳取器械(51.40%),在硬币异物取出中使用率明显高于非鼠齿钳器械(P<0.05)。结论各年龄段儿童均易发生上消化道异物,以金属异物居多;电子胃镜取出上消化道异物成功率高,鼠齿钳最常用。
Objective To investigate the necessity of popularizing knowledge of foreign bodies in upper gastrointestinal tract and effectiveness of electronic gastroscopic removal by analyzing characteristics of upper gastrointestinal tract foreign bodies among different age periods of children and the clinical diagnosis and treatment method.Methods The data of children aged<18 years old undergoing electronic gastroscopic removal of foreign bodies in the upper gastrointestinal tract from 1996 to 2017 in this hospital were retrospectively analyzed.The properties of foreign bodies,location of incarceration,complications and the effectiveness of electronic gastroscopy were analyzed.Results The proportion of upper gastrointestinal tract foreign bodies occurred in the school age children(6-<13 years old)and pre-school age children(3-<6 years old)was significantly higher than that in early childhood children(1-<3 years old),the difference was significant(P<0.05).Among 101 children patients,the food-borne foreign bodies were found in 21 cases(20.79%),the non-food-borne foreign bodies were mainly metal bodies.The proportion of food-borne foreign bodies in school age children was significantly higher than that in preschool age and early childhood children(P<0.05).In non-food-borne foreign bodies,the proportion of coin foreign bodies was significantly higher than that of other metallic bodies(P<0.05).The proportion of coin foreign bodies in school age and pre-school age children was higher than that in early childhood children(P<0.05).The proportion of conventional digestive tract foreign bodies(food-borne foreign bodies and coin)in adolescent children(13-<18 years old)was significantly lower than that in school age and pre-school age children(P<0.05);the proportion of non-conventional foreign bodies(excluding food-borne and coin)in adolescent children was significantly higher than that in school-age and pre-school age children(P<0.05).The proportion of foreign bodies incarceration in gastric cavity and esophagus were significantly mo
作者
夏洪芬
李富裕
罗林
魏渊
白毅平
XIA Hongfen;LI Fuyu;LUO Lin;WEI Yuan;BAI Yiping(Department of Endoscopic Medicine,Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,China;Department of Anesthesiology,Affiliated Hospital of Southwest Medical University,Luzhou,Sichuan 646000,China)
出处
《检验医学与临床》
CAS
2021年第9期1211-1213,1217,共4页
Laboratory Medicine and Clinic
基金
四川省卫生健康委员会课题(19PJ295)
西南医科大学附属医院博士科研启动基金(19022)。
关键词
儿童
上消化道
异物
电子胃镜
children
upper gastrointestinal tract
foreign bodies
electronic gastroscopy
