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Different types of grasping forceps in treatment of a bronchial foreign body: a comparative study in 1026 children

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机构: [1]Department of Interventional Pulmonology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health (NCCH), Beijing, China [2]China National Clinical Research Center for Respiratory Diseases, Beijing, China
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关键词: Children bronchoscope bronchial foreign body

摘要:
Objective: The goal of this study was to retrospectively analyze the characteristics of bronchial foreign bodies in children and compare utilization of different types of grasping forceps for treatment. Methods: Retrospective analysis of 1026 children who underwent bronchoscopy for bronchial foreign body removal at our department during 2002.6-2017.8. Under local mucosa anesthesia, electro bronchoscope and grasping forceps were operated to clear away foreign body from the airway. Results: In 1026 cases, food foreign body was in 927 cases (90.2%). Metal was in 2 cases. Plastic materials were in 97 cases. According to the site of foreign body, there were 316 cases in right lower lobe bronchial, 223 cases in left lower lobe, 304 cases in left or right main bronchial, 39 cases in right upper lobe, 13 cases in right middle lobe, 36 cases in left upper lobe and 27 cases in left linguist lobe. Granulation hyperplasia was found in 855 cases (83%). Only 69 cases (6.7%) experienced bronchial branch stenosis or occlusion for long disease courses. The average operation times were 1.24 +/- 0.75. The one-time operation achievement ratio of patients whose foreign body obstructed the main bronchia l (100%), right lower lobe (83.2%) and left lower lobe (85.7%) was higher than others. The operation times using basket grasping forceps (1.08 +/- 0.39) was lower than those using tooth types forceps (1.94 +/- 1.30) and the difference was significant (P < 0.05), especially to massive hard nuts. Conclusion: In conclusion, hard nut mass and skin of melon seed was the most common type of bronchial foreign body. The right and left lower lobe bronchial and bilateral main bronchi were predilection sites, and were easier to clean out. Based on the different kinds of foreign bodies and the different sites, basket grasping forceps were significantly more effective than tooth grasping forceps.

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出版当年[2018]版:
大类 | 4 区 医学
小类 | 4 区 医学:研究与实验
最新[2023]版:
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出版当年[2017]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL
最新[2023]版:
Q4 MEDICINE, RESEARCH & EXPERIMENTAL

影响因子: 最新[2023版] 最新五年平均 出版当年[2017版] 出版当年五年平均 出版前一年[2016版] 出版后一年[2018版]

第一作者:
第一作者机构: [1]Department of Interventional Pulmonology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health (NCCH), Beijing, China [2]China National Clinical Research Center for Respiratory Diseases, Beijing, China [*1]Department of Interventional Pulmonology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health (NCCH), Beijing, China [*2]China National Clinical Research Center for Respiratory Diseases, Beijing, China
通讯作者:
通讯机构: [1]Department of Interventional Pulmonology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health (NCCH), Beijing, China [2]China National Clinical Research Center for Respiratory Diseases, Beijing, China [*1]Department of Interventional Pulmonology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health (NCCH), Beijing, China [*2]China National Clinical Research Center for Respiratory Diseases, Beijing, China
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