摘要
目的：分析鳃裂囊肿及瘘管的临床特点，探讨其诊断和治疗方法。方法：对40例鳃裂囊肿及瘘管患者的临床资料进行回顾性分析，并结合文献对诊断、鉴别诊断、治疗经验及教训进行探讨；全部患者均经手术切除囊肿及瘘管。结果：随诊1～5年，2例失访，36例无复发；2例复发，再次手术，分别随访42和14个月，未复发。结论：颈侧部沿胸锁乳突肌前缘自耳周腮腺区至锁骨上孤立的、无痛囊性包块，或有反复感染成颈部脓肿、破溃、多次切开引流者均应考虑鳃裂囊肿及瘘管。颈部B超、增强CT、MRI、碘油造影、钡餐检查、直接喉镜检查均可辅助诊断，病理检查可确诊。手术切除仍为治疗鳃裂畸形的主要方法。
Objective：To explore the diagnosis and treatment for the congenital branchial cleft cysts and sinuses. Method：We analyzed the clinical material of 40 patients with branchial cleft cysts and sinuses, and explored the dignosis and therapeutic experience. Twelve cases were first branchial cleft cysts and sinuses, 23 cases were second branchial cleft cysts and sinuses and 5 cases were third branchial cleft cysts and sinuses. Result：All patients were cured by surgical resection. Followed up from 1 to 5 years, 36 cases were cured, 2 cases were lost touch with, 2 cases recurred and were well treated again. Consuision： Surgical resection was the main method to treat the congenital branchial cleft cysts.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2006年第9期399-401,共3页
Journal of Clinical Otorhinolaryngology
关键词
鳃裂囊肿
诊断显像
外科手术
鳃裂瘘管
Branchial cleft anomalies
Diagnostic imaging
Surgical procedures, operative
