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目的探讨纤维喉镜检查和治疗咽部异物的优点和缺点。方法用纤维喉镜检查和治疗88例疑难性咽部异物,分析临床资料。结果88例中发现并取出异物60例,未发现异物28例,随访1~4周无咽部异物。一次成功钳取异物57例(95%);行二次手术取出3例(5%),所有病例无手术并发症发生。结论纤维喉镜检查及钳取咽部疑难性异物较间接喉镜有明显优势,但应克服其缺点。
Objective To investigate the advantages and disadvantages of fiberopharyngoscopy in the treatment of throat foreign bodies. Methods Fetal laryngoscope examination and treatment of 88 cases of intractable throat foreign body, analysis of clinical data. Results Of 88 cases, 60 cases of foreign bodies were found and removed, 28 cases of foreign bodies were not found. No foreign body was observed in 1 to 4 weeks follow-up. Fifty-seven (95%) foreign bodies were successfully grasped by a successful clamp and three cases (5%) were removed by two surgeries. No complications occurred in all the cases. Conclusions Fibrolaryngoscopy and pliers extraction of difficult throat foreign body than the indirect laryngoscope has obvious advantages, but should overcome its shortcomings.