中华灾害救援医学2024，Vol.11Issue(4)：377-380,4.DOI:10.13919/j.issn.2095-6274.J202403042
食管异物临床特征及穿孔相关危险因素分析
Clinical Features of Esophageal Foreign Bodies and Analysis of Perforation-related Risk Factors
摘要
Abstract
Objective To analyze the clinical features and perforation-related risk factors of esophageal foreign bodies.Methods 806 patients with esophageal foreign bodies in our hospital from February 2018 to February 2023 were retrospectively selected and divided into two groups according to perforation(68 cases)and unperforated(738 cases).Analysis of perforation related risk factors were conducted by multivariate Logistic anal-ysis.Results There were no significant differences between the two groups in gender,length diameter of foreign body,date pit in foreign body type,proportion of food mass,foreign body type,impinged site,and esophageal or cervicothoracic diseases(P＞0.05).In the perforated group,the age of patients was higher than that in the non-perfo-rated group(P＜0.05),the proportion of ≤ 45 years old and 46～64 years old was lower than those in the non-per-forated group,the proportion of ≥ 65 years old was higher than that in the non-perforated group(P＜0.05),the pro-portion of incarceration time ≤ 5 h and 6～7 h was lower than those of the non-perforated group,the proportion of incarceration time ≥ 8 h was higher than that of the non-perforated group(P＜0.05).The risk factors related to per-foration included the length of the foreign body,the incarceration time ≥ 8 h,and the incarceration site in the middle of the esophagus(P＜0.05),excluding the incarceration time 6～7 h and the incarceration site in the lower esophagus(P＞0.05).Conclusion The high incidence of esophageal foreign bodies is in the elderly,and bone and date stone are the main foreign bodies.The risk factors related to perforation include the length of foreign bodies,the incarcera-tion time ≥ 8 h,and the incarceration site in the middle of the esophagus.关键词
食管/食管穿孔/因素分析,统计学Key words
esophagus/esophageal perforation/factor analysis,statistical分类
医药卫生引用本文复制引用
侯超..食管异物临床特征及穿孔相关危险因素分析[J].中华灾害救援医学,2024,11(4):377-380,4.基金项目
锡林郭勒盟科技计划项目(202311) （202311）
