食管异物长径和并发症发生的相关性分析-1项回顾性研究
The relationship between the diameter of esophageal foreign bodies and the occurrence of complications:a retrospective study
宾楚轩 1张川1
作者信息
- 1. 100176 首都医科大学附属北京同仁医院消化内科
- 折叠
摘要
目的 探讨在内镜下异物取出中,食管异物长径和并发症发生的关系.方法 回顾性分析2018年8月至2021年4月因食管异物就诊于首都医科大学附属北京同仁医院接受内镜治疗患者的病例资料.结果 共纳入425名患者,其中无并发症组有93人,有并发症组有332人.Logistic单因素回归分析的结果提示,异物的长径、枣核、坎顿时异物长轴和食管长轴成角和使用异物钳是患者出现并发症的危险因素,而异物坎顿于食管中段相较于食管上段是保护因素.Logistic多因素回归分析提示异物长径和并发症的发生成正相关(OR:3.41,95％CI:2.28～5.11;P＜0.001),进一步调整变量后,在多个模型中结果稳定.结论 食管异物长径和并发症的发生呈正相关.
Abstract
Objective To investigate the relationship between the diameter of esophageal foreign bodies and the occurrence of complications during endoscopic foreign body retrieval.Methods A retrospective analysis was performed for the case data of patients who received endoscopic treatment at Beijing Tongren Hospital Capital Medical University due to esophageal foreign body from August 2018 to April 2021.Results A total of 425 patients were enrolled,including 93 in the uncomplicated group and 332 in the complications group.The Univariate analysis showed that the long diameter of the foreign body,the jujube seed,there is angulation between the long axis of the foreign body and the long axis of the esophagus,the use of foreign body forceps were the risk factors for complications,and the foreign body blocking in the middle of the esophagus was a protective factor compared with the upper esophagus.Multivariate analysis showed a positive correlation between the diameter of foreign body and the occurrence of complications(OR:3.41,95％CI:2.28-5.11;P＜0.001).Conclusion There is a positive correlation between the diameter of esophageal foreign body and the occurrence of complications.
关键词
食管异物/内镜/并发症Key words
esophageal foreign body/endoscopy/complication引用本文复制引用
出版年
2024
NETL
NSTL
万方数据