纤维喉镜下单人操作咽部困难异物取出84例临床分析.docVIP

纤维喉镜下单人操作咽部困难异物取出84例临床分析 　　【摘要】 目的：探讨单人操作纤维喉镜在咽部困难异物取出术中的临床应用。方法：选取2016年10月-2017年5月本院收治的困难异物患者84例，其中未明确异物者52例，发现异物而取出困难者32例，均经纤维喉镜下单人操作检查，发现异物者同时行异物取出术。结果：52例未明确异物患者中，发现异物者30例，余22例患者仍未发现异物，随访未发现异物；32例难取异物患者，通过纤维喉镜检查均顺利取出。结论：咽部困难异物可通过纤维喉镜下检查并取出，效果显著，且可单人操作，广泛应用于门急诊工作。 　　【关键词】 咽； 异物； 纤维喉镜 　　Clinical Analysis of 84 Cases of Difficult Pharynx Foreign Body Removal from Single Person Operation Under Fiberoptic Laryngoscope/GUO Xiaojuan，HOU Yanpeng，WANG Guoxin.//Medical Innovation of China，2018，15（07）：121-124 　　【Abstract】 Objective：To investigate the clinical application of single-operated fiberoptic laryngoscope in the extraction of difficult foreign bodies in pharynx.Method：A total of 84 patients with difficult foreign body treated in our hospital from October 2016 to May 2017 were selected，among them 52 cases were not found foreign bodies and 32 cases were find the foreign body and remove the difficult person，they were examined by single person operation under fiberoptic laryngoscope，and those who found foreign bodies were taken out of foreign bodies at the same time.Result：Among 52 cases of unidentified foreign bodies，30 cases were found foreign bodies，22 cases had not found foreign bodies，and not foreign bodies were found during follow-up.32 patients with difficult foreign bodies were removed successfully by fiberoptic laryngoscope.Conclusion：Difficult foreign body of pharynx can be examined and removed by fiberoptic laryngoscope，the effect is obvious and can be operated by single person.It is widely used in outpatient and emergency work. 　　【Key words】 Pharynx； Foreign body； Fiberoptic laryngoscope 　　First-author’s address：The Fourth People’s Hospital of Shenyang，Shenyang 110031，China 　　doi：10.3969/j.issn.1674-4985.2018.07.034 　　咽部??物是耳鼻咽喉科常见的急诊之一，多可通过直接钳取或间接喉镜下钳取出。但临床诊治过程中，由于患者咽腔狭窄、咽反射过于敏感、所卡异物位置隐蔽等，异物难以被发现或取出。对难以发现异物和难以取出异物，统称为困难异物，本研究借助纤维喉镜辅助工作，提高了困难异物的检出率及取出率，同时笔者进行单人操作尝试，取得满意效果，现报道如下。 　　1 资料与方法 　　1.1 一般资料 选取2016年10月-2017年5月就诊于本院门急诊的咽部困难异物患者84例，其中男48例，女