摘要
目的探讨咽食管憩室（Zenker憩室）的诊断、鉴别诊断及其治疗方法。方法回顾性分析2001年7月至2011年12月7例因甲状腺肿物手术确诊并发Zenker憩室患者的临床资料，对术前诊断、手术方式及术后疗效进行综合分析和研究。7例患者术前经颈部甲状腺及周围高频超声饮水试验、食管X线钡餐造影透视及正侧位摄片等影像学检查，术前诊断甲状腺肿物，均于术中确诊合并Zenker憩室并行Zenker憩室切除，术中分离肌层在导尿管水囊引导下切除憩室黏膜壁并分层缝合咽食管黏膜壁、肌层。结果第1例患者因术中憩室黏膜保留过多形成假性囊袋，引起术后感染Zenker憩室瘘，经术后长期换药及打开创面修补后痊愈出院，其他6例均I期愈合，无术后并发症。结论提高对甲状腺肿物合并Zenker憩室的认识，术中如发现甲状腺左叶后上方囊性包块时可下胃管检查确诊此病。手术切除效果良好，无术后并发症发生。
Objective To investigate the diagnosis, differential diagnosis and the treatment of Zenker diverticulum （pharyngoesophagus diverticulum ） in thyroid operation. Methods Seven cases suffering from thyroid masses diagnosed Zenker diverticulum in thyroid operation between July 2001 and December 2011 were reviewed. Results Zenker diverticula in the patients were resected. Only one case was complicated with the formation of false capsular bag, infection and fistula postoperatively, but cured with draining eventually. Conclusions Zenker diverticulum may exist in some patients with thyroid mass. Resection of diverticulum may be performed in thyroid operation, with a good prognosis.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2012年第12期1004-1007,共4页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词
ZENKER憩室
诊断
鉴别
超声检查
Zenker diverticulum
Diagnosis, differential
Uhrasonography
