引言直肠异物可能导致显著的发病率,可能需要手术干预和造口术。诊断的敏感性可能导致不准确的患者病史和可能的诊断延迟。目前,针对这种诊断的大型国家研究很少。因此,我们提供了描述直肠异物患者的人口统计学和发病率的国家数据。方法利用国家电子伤害监测系统(NEISS)收集有关直肠异物的数据。从2012年到2021年收集了十年的数据。纳入标准侧重于诊断“异物”以及骨盆和下躯干损伤。排除标准包括在叙述中明确没有直肠异物的患者。根据严重程度低(治疗/检查并释放或未发现)或严重程度高(治疗和入院/住院,举行观察,或转移到另一个设施)。对人口统计学和倾向进行了一般的描述性和推断性分析。结果共确定了1,806例急诊科(ED)就诊。患者的年龄从0到93岁不等,平均年龄30岁.确定的最大年龄组是11-15岁和21-25岁。大多数患者为男性(64.6%)和白人(47.1%)。最常见的异物是按摩装置和振动器(22.7%),珠宝(8.1%),钢笔和铅笔(4.4%),渔具(活动,服装,或设备)(3.7%),和非玻璃瓶或罐子(百分之二点六)。需要入院的患者,观察,或转移不同于那些从急诊室出院的患者的年龄,性别,种族,涉及产品。讨论直肠异物是一种罕见的诊断,发病率越来越高。虽然最常见的物体是按摩装置和与性刺激装置一致的振动器,安全使用的产品指南有限。进一步的研究,以帮助识别有风险的人,安全预防措施,和制造指南可能有助于预防与直肠异物相关的潜在发病率。
Introduction Rectal foreign bodies may result in significant morbidity, potentially necessitating surgical intervention and ostomy creation. The sensitive nature of the diagnosis may lead to inaccurate patient history and possible delay in diagnosis. Currently, there is a paucity of large national studies addressing this diagnosis. Therefore, we present national data describing the demographics and incidence of patients presenting with rectal foreign bodies. Methods The National Electronic Injury Surveillance System (NEISS) was utilized to collect data regarding rectal foreign bodies. Ten years of data were collected from 2012 to 2021. Inclusion criteria focused on the diagnosis of \"foreign body\" coupled with pelvic and lower torso injuries. Exclusion criteria encompassed patients without a rectal foreign body clearly identified in the narrative. Patients were compared based on disposition as low severity (treated/examined and released or left without being seen) or high severity (treated and admitted/hospitalized, held for observation, or transferred to another facility). General descriptive and inferential analyses were performed regarding demographics and dispositions. Results A total of 1,806 emergency department (ED) visits were identified for inclusion. Patients ranged in age from 0 to 93 years, with a mean age of 30 years. The largest age group identified was 11-15 and 21-25 years. Most patients were male (64.6%) and white (47.1%). The most common foreign bodies were massage devices and vibrators (22.7%), jewelry (8.1%), pens and pencils (4.4%), fishing gears (activity, apparel, or equipment) (3.7%), and nonglass bottles or jars (2.6%). Patients requiring admission, observation, or transfer differed from those patients that were discharged from the ED by age, sex, race, and product involved. Discussion Rectal foreign bodies are a rare diagnosis with a growing incidence. Though the most common objects are massage devices and vibrators consistent with sexual stimulation devices, there are limited product guidelines for safe use. Further studies to help identify at-risk persons, safety precautions, and manufacturing guidelines may help prevent potential morbidity associated with rectal foreign bodies.