NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ DỊ VẬT THỰC QUẢN Ở BỆNH NHÂN TRÊN 15 TUỔI TẠI BỆNH VIỆN TAI MŨI HỌNG CẦN THƠ TỪ THÁNG 06/2022 ĐẾN THÁNG 06/2024

Abstract

Background: In Vietnam and the world, esophageal foreign bodies are a common emergency in Ear Nose Throat (ENT) Hospital, the disease is prevalent and can occur at any age. It is easily diagnosed and treated but there are several cases where patients arriving late have complications, even death. Objectives: To describe the clinical, and subclinical and evaluate the results of the treatment esophageal foreign body. Materials and methods: The study was conducted on 60 cases of esophageal foreign bodies, patients over 15 years old undergoing rigid esophagoscopy at Can Tho ENT Hospital. Data were analyzed using SPSS 18.0 software. Results: The most foreign objects were fish bones 50%, duck bones 20%, and dentures (1.7%). The foreign body location was mainly in the cervical esophagus 76.7%, and thoracic esophagus 23.3. Symptoms of painful swallowing accounted for the highest rate 91.7%, difficulty swallowing 53.3%. Duration of illness 7-24 hours 45%. The X-ray confirmed the presence of the foreign body in the esophagus 66.67%. Treatment evaluation was good 86.7%, was average 13.3%. The later patients with underlying medical conditions arrive after 24 hours, the higher the complication rate (p<0.05). Conclusion: Rigid esophagoscopy to remove foreign bodies is achieves good results, easy to perform, even for complex foreign bodies. Painful swallowing is a reliable symptom of esophageal foreign body, esophagoscopy evaluation is necessary in patients with suspected foreign body ingestion despite negative imaging results.