Clinical Application Of Flexible Bronchoscopy In Tracheobronchial Foreign Bodies In Children

Objective:Tracheobronchial foreign body is one of the most common critical diseases in children.In this study,the clinical application value of flexible bronchoscopy in children with foreign body in the tracheobronchial was clarified by evaluating the common influencing factors and indicators,the common influencing factors and indicators for the injuries of foreign body in the tracheobronchial,and the diagnostic and therapeutic effects of flexible bronchoscopy on children with foreign body in the tracheobronchial.Methods and Means:Choice between September 2018 and December 2019 in Ji Lin University first hospital pediatric breathing second division were a total of 92 cases admitted to hospital after flexible bronchoscopy exist clear tracheobronchial foreign bodies of children as the research object,on its population characteristics,clinical manifestation,imaging changes,injuries were retrospectively analyzed,clear flexible bronchoscope in the clinical application value of children's tracheobronchial foreign bodies.Result:1.Population characteristics of tracheobronchial foreign body: the ratio of boys to girls was 3.60:1;The ratio of rural children to urban children was 1.30 to 1.Children aged 1-3 years accounted for 82.61% of the total.2.Common types and prone sites of foreign bodies: among the cases of tracheobronchial foreign bodies studied,there were 69 cases of plant foreign bodies,accounting for 75.00% of the total.The cases of left and right bronchial foreign bodies were similar.3.Analysis of correlation factors of tracheobronchial injury caused by foreign body in the tracheobronchial: in the tracheobronchial injury caused by foreign body,there was statistical significance between the disease course of granulation tissue hyperplasia and foreign body(P<0.05),while there was no statistical significance between mucosal congestion and edema,ulcer and erosion and the disease course(P>0.05).There was statistical significance between granulation tissue hyperplasia and different foreign body types(P<0.05),while there was no statistical significance between mucosal hyperemia edema,ulcer,erosion and foreign body types(P>0.05).4.Diagnostic role of flexible bronchoscopy: only 55.43% of children with a clear history of foreign body choking.Compared with lung CT(P<0.05),compared with flexible bronchoscopy(P<0.05),and compared with pulmonary bronchoscopy(P<0.05),there were statistical significance(P<0.05).5.Therapeutic effect of flexible bronchoscopy: in 92 cases of foreign body in the tracheobronchial,92 cases of foreign body were successfully removed,and the cure rate was up to 100%.The majority of foreign bodies are removed by foreign body forceps.The appropriate operation methods should be selected according to the different characteristics of foreign bodies.Timely removal of foreign bodies by flexible bronchoscopy can effectively reduce and avoid tracheobronchial damage.11Conclusion:1.The incidence of tracheobronchial foreign body is higher in boys than girls,and in rural areas than in cities,with the highest incidence of 1 to 3 years old.The proportion of left and right bronchi at the location of trancheobronchial foreign body is about the same,mainly plant foreign body,the incidence of granulation tissue is related to the course of foreign body.2.Flexible bronchoscopy is an important means for the diagnosis of a tracheobronchial foreign bodies.3.Flexible bronchoscopy combined with various intervention methods is an important means of treating tracheal obligations.