CAJ | 학술논문

目的探讨Foley管法取儿童食管异物的有效性和安全性。方法回顾性分析新疆医科大学第一附属医院耳鼻喉科2010年5月-2013年5月17例儿童用Foley管法取出食管异物的操作方法、效果及并发症。结果17例食管异物中16例为金属异物，1例为扁平石头。16例金属异物当中硬币类11例，金属钮扣2例，钮扣电池1例，装饰环1例，吊坠1例。异物停留位置在食管第二狭窄处7例，胸廓入口处6例，食管第一狭窄处4例。通过Foley管顺利取出16例，取出失败并掉入胃内2 d后排出体外1例。所有患儿均未发生进食时疼痛、出血或呼吸困难等并发症。结论 Foley管法安全、高效、经济、快速，适于取儿童钝圆、扁平食管异物。
목적탐토Foley관법취인동식관이물적유효성화안전성。방법회고성분석신강의과대학제일부속의원이비후과2010년5월-2013년5월17례인동용Foley관법취출식관이물적조작방법、효과급병발증。결과17례식관이물중16례위금속이물，1례위편평석두。16례금속이물당중경폐류11례，금속뉴구2례，뉴구전지1례，장식배1례，조추1례。이물정류위치재식관제이협착처7례，흉곽입구처6례，식관제일협착처4례。통과Foley관순리취출16례，취출실패병도입위내2 d후배출체외1례。소유환인균미발생진식시동통、출혈혹호흡곤난등병발증。결론 Foley관법안전、고효、경제、쾌속，괄우취인동둔원、편평식관이물。
Objective To discuss the safety and efficacy of Foley catheter removal of blunt pediatric esopha-geal foreign bodies .Methods Analyze our first 17 cases of pediatric esophageal foreign bodies removed by Foley catheter method with respect of the efficacy ,removal methods and complications .We also reviewed related literature and discussed the background ,current status and technical matters that need attention of this method .Results In three year period between May 2010 and May 2013 ,in 16 out of 17 children , blunt radiopaque foreign bodies that impacted in the esophagus were successfully removed by a Foley cath-eter .There were no complications .In one patient ,the foreign body was advanced into stomach and came out with stool 2 days later .Conclusion The technique is safe ,rapid and cost -effective procedure and ap-plicable for blunt ,flat foreign bodies impacted in the esophagus .