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移除完全嵌入宫食道壁的鱼骨
Kenichi Watanabe1, Yuho Sato1, Yuichi Shimizu1
1Otolaryngology, Tohoku Rosai Hospital, Sendai, JPN.
Cureus
|October 31, 2025
概括
在宫食道内住了一块鱼骨,需要进行手术去除. 术内超声波对于在部探索过程中定位嵌入异体至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 手术成像手术成像
背景情况:
- 鱼骨是上空消化道中常见的异物.
- 进入食道外来物穿透光层或以外光方式迁移可能需要进行部检查.
- 鱼骨完全放入宫食道壁是诊断和治疗方面的挑战.
研究的目的:
- 报告一个罕见的鱼骨完全嵌入宫食道的罕见病例.
- 为了突出标准内镜程序的诊断局限性,深沉的外体.
- 强调手术内超声波在指导外科切除的实用性.
主要方法:
- 一名68岁的妇女怀疑嵌入了鱼骨,她接受了食道胃管腺镜和硬食道镜检查.
- 用喉扩张进行内镜超声波试图进行局部化.
- 进行了手术探索与手术内超声波指导,以确定最终的去除.
主要成果:
- 最初的内镜评估未能确定鱼骨.
- 内镜超声波无法准确地定位嵌入的异物.
- 术内超声波成功引导了通过宫切口识别和从食道壁中去除鱼骨.
结论:
- 对于深深嵌入的食道外体,而这些外体对内镜去除无反应,需要进行外科手术.
- 术内超声波是准确地定位食道壁内的异物的一种有价值的工具.
- 在处理具有挑战性的食道异物时,建议准备多种去除方法.
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