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目的 :探讨迁移性咽和颈段食管异物的临床特征、诊断及治疗方法。方法 :对位于腔壁内的异物 ,应尽量选用内镜下切开黏膜取出 ;若异物已移至腔外 ,则采用颈侧切开术。结果 :4例患者均顺利取出异物 ,3例无并发症发生 ,1例声带麻痹。结论 :颈部薄层CT扫描是证实异物迁移的重要手段 ,并对手术时定位异物有重要价值 ;食入异物出现迁移者 ,可产生致命性并发症 ,应及时处理
Objective: To investigate the clinical features, diagnosis and treatment of migrating pharyngeal and cervical esophageal foreign bodies. Methods: The foreign body located in the cavity wall, should be selected endoscopic incision mucosa removed; if the foreign body has been moved to the cavity, the use of lateral incision. Results: All 4 patients were successfully removed foreign body, 3 patients without complications, 1 patients with vocal cord paralysis. Conclusion: Thin-neck CT scan is an important method to confirm the migration of foreign body and has important value in the localization of foreign body during surgery. The migrated food-in foreign body can cause fatal complications and should be treated in time