ABSTRACT
Objective To evaluate the efficacy and economy of electronic gastroscope and rigid endoscope on removal of esophageal incarceration foreign bodies. Methods Data of 60 patients with incarceration esophageal foreign body who underwent endoscopic removal of foreign bodies from June 2013 to June 2017 were retrospectively analyzed. They were divided into study group (n = 30) and control group (n = 30) based on the therapy way. The study group was given electronic gastroscope, and the control group was given rigid endoscope. Anesthesia method, success rate of therapy, incidence of endoscopy complication, hospitalization time and average cost of hospitalization were recorded. Results 13patients of study group received local anaesthesia, and 17 patients received intravenous anesthesia, all patients of control group received endotracheal intubation anesthesia. Success rate of therapy between the two group showed no significant difference (96.67% vs 100.00%, P > 0.05). There was no significant difference of the incidence of endoscopy complication between the two group (0.00% vs 3.33%, P > 0.05). Hospitalization time showed no significant difference between the two group [(1.70 ± 1.39) vs (2.20 ± 1.10) d, P > 0.05]. The average cost of hospitalization in study group was (2 022.00 ± 1 787.45) Yuan RMB, which was significantly lower than that of control group (5 078.00 ± 930.57, P < 0.05). Conclusion Both the way of electronic gastroscope and rigid endoscope are safe and efficient in removal of esophageal foreign bodies, but the former has more advantages in simplicity and economical efficiency.
ABSTRACT
Objective To review the features of diagnosis and treatment of craniocerebral firearm wounds in peacetime. Methods A total of 86 cases with various kinds of firearm wounds were retrospectively analyzed for discussing the characteristics of diagnoses and treatment of firearm wounds so as to provide the best treatment methods for firearm wounds of the brain. Results Of all, 80 cases (93%) won full recovery and four (5%) partial recovery but two (2%) were died of massive vascular damage and severe cerebral injuries within 24 hours after operation. Conclusions Craniocerebral firearm wounds are among the most devastating causes for morbidity and mortality in the civilian population. It is important to remove all foreign bodies, especially broken bones and necrotic tissues, and turn the open injury to the close injury. Stereotactic technique, localization of foreign bodies, culture of foreign body bacteria, drug allergy test and correct use of antibiotic and antiepileptic drugs are also critical for eliminating mortality and complications of craniocerebral firearm wounds.