Journal of Shandong University (Health Sciences) ›› 2023, Vol. 61 ›› Issue (4): 71-76.doi: 10.6040/j.issn.1671-7554.0.2022.1286

• 临床医学 • Previous Articles    

Clinical analysis of 936 cases of tracheobronchial foreign body in children

ZHOU Jiamin1,2,3, QIU Jingjing1,2,3, CHEN Xiumei1,2,3, SONG Xicheng1,2,3, SUN Yan1,2,3   

  1. 1. Department of Otolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai 264000, Shandong, China;
    2. Shandong Provincial Clinical Research Center for Otorhinolaryngologic Diseases, Yantai 264000, Shandong, China;
    3. Yantai Key Laboratory of Otorhinolaryngologic Diseases, Yantai 264000, Shandong, China
  • Published:2023-04-11

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Abstract: Objective To analyze the differences in clinical characteristics, imaging examination results, surgical treatments and postoperative complications of tracheobronchial foreign body in children in different periods, and to explore the advances of clinical diagnosis and treatment. Methods A total of 936 children with tracheobronchial foreign body hospitalized in the Department of Otorhinolaryngology, Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University during June 2010 and May 2022 were enrolled. According to the admission time, they were divided into early group(admitted during June 2010 and May 2016, n=526)and late group(admitted during June 2016 and May 2022, n=410). The patients age, gender, type of foreign body, visit time, detection rate of chest X ray/CT scanning, surgical treatment rate, correct diagnostic rate of chest X-ray/CT scanning, incarceration site of foreign body, change of location of foreign body and postoperative complications were compared between the two groups. Results There were no significant differences between the two groups in patients age, gender, type of foreign body, visit time, detection rate of chest X-ray/CT scanning, surgical treatment rate, correct diagnostic rate of chest X-ray/CT scanning, and change of location of foreign body(P>0.05). There were statistically significant differences in the incarceration site of foreign body and postoperative complications(P=0.04, P=0.01). Multivariate binary Logistic regression analysis showed that in the late group, the incarceration site of foreign body in the left upper bronchus decreased by 0.178 times compared with that in the early group, and incidence of pneumonia decreased by 0.423 times. Conclusion Tracheobronchial foreign body in children is common, acute and severe. Timely treatment, correct diagnosis, early surgery and success rate of first-stage operation are key to avoid postoperative complications.

Key words: Tracheobronchial foreign body, Children, Bronchoscopy, Surgery

CLC Number: 

  • R768.1
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