【摘要】 目的探讨食管内假牙的临床治疗方式及效果。方法对我科2008年6月～2018年2月的32例食管内假牙病例进行回顾性分析。结果 32例食管内假牙中20例经食管镜下取出,1例经口吐出,2例假牙自行坠入胃中,2例食管镜下将假牙送入胃中并排出,1例食管镜下取出时假牙穿入颈侧肌层后经左颈侧切开取出,5例因毗邻主动脉弓或食管镜下试取失败转院或出院,1例放弃治疗并出院。结论食管内假牙易嵌顿且潜在风险较高,需尽早食管镜下取出,对于嵌顿明显或毗邻主动脉弓难以经口取出者,宜及时开胸或颈侧切开取出。更多还原

【Abstract】 OBJECTIVE To explore the clinical treatment methods and their efficacy on intraesophageal dentures. METHODS The clinical data of 32 cases with intraesophageal dentures treated in our department from June 2008 to February 2018 were retrospectively analyzed. RESULTS Of the 32 cases, dentures were removed under esophagoscope in 20 patients, spited out himself by 1 patient, pass through the esophagus into the stomach naturally in 2 patients, sent into the stomach under esophagoscope in 2 patients, removed by left lateral cervical incision as dentures penetrated into the muscular layer of left neck in 1 patient. Another 5 patients transfered to another hospital as the dentures were adjacent to the aortic arch or unsuccessful removed transesophageally. The last one abandoned treatment and discharged. CONCLUSIONIntraesophageal dentures are easily impacted and have high potential risks. Emergent esophagoscopic removal is needed, and lateral cervical incision or thoracotomy is required as intraesophageal dentures are impacted obviously or adjacent to the aortic arch.更多还原