食道魚骨異物の統計的観察

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  • A Statistical Analysis of Esophageal Foreign Bodies by Fish Bones.

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A statistical study was made on 104 cases of esophageal foreign bodies treated in our clinic during the past 5 years and 7 months from 1990 to 1995. The results follow:<BR>1) The male-female ratio was 1: 1.3, and 49 cases (47%) were over 50 years of age.<BR>2) The most common foreign body was fish bones (38%), followed by P. T. P. (press through packs of medicine, 20%), coins (19%), dentures (6%) and others.<BR>3) Fish bones were found in 39 cases, in which the male-female ratio was 1: 1.6, and 30 cases (77%) were over 50 years of age.<BR>4) We classified the wounds resulting from fish bones in the esophagus as follows: normal, slight, moderate and severe.<BR>5) The wound scores were significantly related to both the period from the onset to the visit to a clinic and the size of the fish bone.<BR>6) In general, complications from fish bones in the esophagus, such as periesophageal abscess, retropharyngeal abscess and mediastinitis, rarely occur. When these major complications are suspected, a contrast-enhanced CT scan is recommended.

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