【摘要】 目的 分析成人食管异物患者的临床特点，并进行深入探讨，以期提高食管异物的诊断及治疗水平。方法 回顾性分析于2017年1月至2023年8月在河南省人民医院消化内科诊疗的275例食管异物患者的临床资料。结果 275例患者中男133例(48.36%),女142例(51.64%),年龄18～97岁，平均(59.55±18.30)岁。异物嵌顿时间1 h～40 d,中位时间20 h。不同年龄组嵌顿时间差异有统计学意义(P<0.05)。275例食管异物患者中，210例患者无食管基础疾病，65例患者是各种原因引起食管狭窄。210例患者中，异物嵌顿位置位于食管上段163例(77.62%)、食管中段41例(19.52%)、食管下段6例(2.86%)。210例食管异物种类中，动物性异物113例(53.81%),植物性异物74例(35.24%),义齿9例(4.29%),金属异物7例(3.33%),塑料异物4例(1.90%),药品类3例(1.43%)。65例狭窄患者中，食管异物种类为体积较大的食物团、蔬菜块、肉块及药片，并有1例医源性异物(胶囊内镜)。275例患者中，20例出现食管穿孔，其余患者内镜下表现不同程度的充血、糜烂或溃疡。结论 食管异物是临床急症，预防很关键，早期处理食管异物有助于避免严重并发症。针对不同情况的食管异物患者，需要个体化的治疗策略。更多还原

【Abstract】 Objective To explore the clinical characteristics of adult patients with esophageal foreign bodies in order to improve the diagnosis and treatment of this disease. Methods The clinical data of 275 adult patients with esophageal foreign bodies who were diagnosed and treated in the Department of Gastroenterology of Henan Provincial People’s Hospital from January 2017 to August 2023 were retrospectively analyzed. Results Among the 275 patients, 133 cases(48.36%) were males and 142 cases(51.64%) were females. The age range was 18-97 years, with an average age of(59.55±18.30) years. The duration of foreign body impaction ranged from1h to 40 d, with a median duration of 20 h. There was a statistically difference in the duration of impaction between age groups(P<0.05). Among 275 patients with esophageal foreign bodies, 210 patients had no underlying esophageal diseases, and 65 patients had esophageal stenosis caused by various reasons. Among the 210 patients, foreign bodies were located in the upper esophagus in 163 cases(77.62%), the middle esophagus in 41 cases(19.52%), and the lower esophagus in 6 cases(2.86%). Among the 210 cases of esophageal foreign bodies, 113 cases were animal foreign bodies(53.81%), 74 cases were plant foreign bodies(35.24%), 9 cases were denture foreign bodies(4.29%), 7 cases were metal foreign bodies(3.33%), 4 cases were plastic foreign bodies(1.90%), and 3 cases were drugs(1.43%). In the 65 patients with strictures, esophageal foreign bodies were large food bolus, vegetable pieces, meat pieces and tablets, and there was 1 case of iatrogenic foreign body(capsule endoscopy). Of the 275 patients, 20 patients presented with esophageal perforation, and the rest showed various degrees of congestion, erosion or ulceration under endoscopy. Conclusion Esophageal foreign body is a clinical emergency and prevention is very important. Early treatment of esophageal foreign body can help avoid serious complications. Individualized treatment strategies are needed for patients with esophageal foreign bodies in different conditions.更多还原