摘要
Abstract
Objective To investigate the therapeutic effect and value of surgery on foreign body in esophagus. Methods The clinical data of 21 patients with foreign body in esophagus who underwent surgical treatment from December 2012 to January 2018 were retrospectively analyzed. Combined with preoperative clinical symptoms, signs, imaging and endoscopic findings, accurately locate foreign bodies, choose transesophageal or transthoracic foreign body in esophagus removal, postoperative parenteral and early enteral nutrition support, anti -infection, acid suppression treatment. Results 15 patients were cured and discharged. The other 6 patients were transferred to local hospitals for further nutritional support and acid suppression treatment. No deaths occurred. There were 8 cases (38.09％) with postoperative complications. The postoperative complications of cervical foreign body and thoracic foreign body were 2 cases (9.52％) and 6 cases (28.57％). Among them, 2 cases (9.52％) of esophageal fistula, 1 case were cured after conservative treatment such as mouth drainage, nutritional support, anti-infection, 1 case was cured after second thoracotomy, and 3 cases (14.29％) were postoperative hoarseness. All patients were followed up for 1 to 2 months after discharge and returned to normal. During the follow-up of 7 months to 5 years, except for one case of death due to esophageal cancer, the rest did not have any symptoms such as dysphagia, eating sensation, and the quality of life was not affected. Conclusion Surgical surgery is one of the main treatment methods for foreign body in esophagus. Foreign bodies should be removed in a timely and safe manner. In combination with preoperative positioning, intraoperative suture of the esophagus or only patency drainage is feasible, but attention should be paid to postoperative complications and postoperative nutritional support.关键词
食管异物/外科治疗/并发症/营养支持/抗感染Key words
Foreign body in esophagus/Surgical treatment/Complications/Nutritional support/Anti-infection分类
医药卫生
