摄入的鱼骨和牙签的迁移,重点是比较的临床放射学发现和诊断错误的分析:一个结构化的叙述性审查
Wanting Zheng1, Xiaojia Wu1, Harshal Ripal Karia2
1The First Affiliated Hospital, Shantou University Medical College, Shantou, China.
Abdominal radiology (New York)
|October 25, 2025
概括
摄入的利外体,如鱼骨和牙签,可以迁移并引起严重的并发症. 早期诊断至关重要,因为许多病例最初被错过,强调需要提高临床意识和先进的成像技术.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 手术病理学手术病理学
背景情况:
- 摄入的利外体 (FBs),如鱼骨和牙签,由于潜在的迁移和严重的并发症,造成诊断挑战.
- 虽然很少见,但FB迁移可能会影响邻近或遥远的器官,需要进行彻底的差异诊断.
研究的目的:
- 对迁徙鱼类骨和牙签之间的临床放射学发现进行比较分析.
- 调查摄入急性FB病例中诊断错误的频率和贡献因素.
主要方法:
- 一项全面的文献审查确定了96项研究,涉及107名患者,他们摄入了迁徙鱼的骨头或牙.
- 对比分析侧重于患者的特征,病史,诊断方法,治疗和临床结果.
主要成果:
- 鱼骨占79.4%的病例,而牙签占20.6%. 腹腔腔是最常见的迁移部位 (64.5%).
- 很大一部分患者 (57.9%) 最初没有报告FB摄入. 诊断错误发生在14.0%的病例中,成像失败和误诊为炎症病变或瘤.
- 在鱼骨和牙签之间观察到统计学上显著的差异,涉及迁移地点,并发症严重程度和平均长度 (P < 0.05).
结论:
- 摄入的迁徙鱼的骨头和牙代表了需要及时诊断和管理的医疗紧急情况.
- 有效的诊断策略包括高度的临床怀疑,详细的摄入史,并利用多平面重建CT和超声波.
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