21年間の咽頭異物症の臨床像の検討 [in Japanese] Statistical study on the cases with pharyngeal foreign bodies (21 years) : 737 cases with pharyngeal foreign bodies [in Japanese]
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咽頭異物は, 他の耳鼻咽喉科領域の異物症と同様に日常診療で多く認められる疾患である.<BR>今回, 当科における1986年から2006年までの21年間の咽頭異物症について統計的な検討を行なった. 咽頭異物症例は, 737症例であった. 新患患者 (94, 175例) に占める割合は, 0.78%であった. 受診時間帯を診療時間内と内に分けると時間外を受診する症例が圧倒的に多く, 性別では, 男女差を認めなかった. 介在部位では, 口蓋扁桃に多く認めた. 月別では, 6月に少なく5月と7月, 8月に多く認めた. 年齢分布では, 9ヶ月の乳児から91歳まで認めた. 年代別では, 9歳以下の小児に多く認めた. 異物の種類では, 魚骨が多く, その中でもアジ, ウナギ, サケの順で多く認めた.
Although pharyngeal foreign bodies are very frequently seen in daily practice, there have few systematic analyses of a large case population.<BR>We analyzed 737 cases seen at our clinic during the 21 years from January 1986 to December 2006. During the same period there were 94, 175 new patients, and the cases of pharyngeal foreign bodies accounted for 0.78% of the total.<BR>There were 197 cases (26.7%) seen during routine outpatient clinic hours, and 540 cases (73.3%) were seen in the emergency room.<BR>These were 354 males (48.0%) and 383 females (52.0%).<BR>The oropharynx was involved in 704 cases (95.5%) and the hypopharynx in 25 cases (3.4%).<BR>The monthly distribution showed an average of 61.4 cases a month with peaks in May, July and August.<BR>The age distribution showed an average age of 26.6 years and a range of 9 months to 91 years. The peak incidence by age was in the under 9 years group.<BR>The most common foreign body in the pharynx was a fish bone (93.6%). The majority of the fish bones was from horse mackerel followed by eel bones and salmon bones.
Stomato-pharyngology 20(3), 369-375, 2008-06-10
Japan Society of Stomato-pharyngology