Analysis in diagnosis and treatment of 29 cases of cervical esophageal perforation
10.3760/cma.j.issn.1673-0860.2019.08.010
- VernacularTitle: 颈段食管穿孔29例诊治分析
- Author:
Haitao LIU
1
;
Qing LUO
1
;
Jian ZHANG
1
;
Li FAN
1
;
Jiaxing CAO
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China
- Publication Type:Journal Article
- Keywords:
Foreign bodies;
Esophageal perforation;
Diagnosis;
Treatment
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2019;54(8):610-613
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze and summarize the method and effect of cervical esophagus perforation.
Methods:A total of 29 cervical esophageal perforation patients caused by foreign body were retrospectively analyzed from January 2012 to June 2018 in Department of Otorhinolaryngology Head and Neck Surgery, the First Affiliated Hospital of Nanchang University.
Results:Among the 29 cervical esophageal perforation patients, 28 patients were extracted by lateral neck incision, 1 patient with carotid artery hemorrhea was rescued by repairing the fistula between carotid artery and esophage. All patients recovered and successfully discharged. There were no severe complications among all patients.
Conclusions:The cervical CT scan is important for diagnosing a cervical esophageal perforation. Enhancement CT scan is necessay for a patient with haematemesis. Lateral neck incision would be first choice for patients with big foreign bodies. Inflammatory reaction and finger palpation are helpful for locating foreign bodies.
