刚性食道镜用于外体提取:内镜时代的结果和并发症
Pedro L Alexandre1,2, João V Pinto1,2,3, Liliana Costa4
1Otolaryngology, University Hospital Center of São João, Porto, PRT.
刚性食道镜 (RE) 有效地治疗摄入的异物,特别是当柔性内镜失败时. 位于靠近食道外的异物显著增加了食道穿孔的风险.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 紧急医疗 紧急医疗
背景情况:
- 刚性食道镜 (RE) 是一种历史悠久的耳鼻喉科手术.
- 灵活的内镜技术已经减少了RE的频率.
- 这项研究重新审视了外体摄入的RE结果.
研究的目的:
- 描述刚性食道镜对于外体摄入的结果.
- 确定术后并发症的危险因素.
主要方法:
- 对于外体摄入的162个RE病例的回顾性分析.
- 从葡萄牙高等大学医院 (2010-2020年) 收集的数据.
主要成果:
- 肉骨 (31.5%),食物冲击 (28.8%) 和鱼骨 (19.5%) 是常见的异物.
- 临近食道是最常见的位置 (80%).
- 食道穿孔发生在8%的患者中,死亡率为2.5%.
结论:
- 刚性食道镜仍然是管理摄入外体的关键工具.
- 异物位于靠近食道外的位置是食道穿孔的重要危险因素 (OR=4.67).
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