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目的观察门诊咽异物就诊者异物阳性率、漏诊率。方法对2006年7月1日-2006年12月31日接诊的主诉咽异物患者的诊治情况进行前瞻性观察。结果216例中检查发现并取出异物153例(70.8%),漏诊2例(0.9%);口咽常规检查及下咽间接喉镜检查发现异物148例(占异物总数96.7%),纤维喉镜检查,发现异物3例,X线及CT检查各发现1例。直接取出145例,纤维喉镜下取出6例,食道镜下取出1例,颈侧切开取出1例。结论口咽常规检查及下咽间接喉镜检查是咽异物诊治中的主要手段,有选择地采用纤维喉镜、X线等辅助检查可降低漏诊率。
Objective To observe the positive rate and misdiagnosis rate of foreign body in outpatients with pharyngeal foreign body. Methods From July 1, 2006 to December 31, 2006, the chief complaint of the diagnosis and treatment of pharyngeal foreign body was prospectively observed. Results Among the 216 cases, 153 (70.8%) were foreign bodies, and 2 were missed (0.9%). There were 148 foreign bodies (96.7%) in routine ophthalmopharyngeal and pharyngeal indirect laryngoscopy, Inspection and discovery of foreign body in 3 cases, X-ray and CT examination of each found in 1 case. 145 cases were taken out directly, 6 cases were removed under fiber laryngoscope, 1 case under esophagoscopy and 1 case under neck. Conclusions Oropharyngeal routine examination and indirect pharyngeal laryngoscopy are the main methods in the diagnosis and treatment of pharyngeal foreign bodies. The selective examination with fiberoptic laryngoscopy and X-ray can reduce the rate of misdiagnosis.