摘要
目的 :提高第三鳃裂瘘管的诊断与治疗水平。方法 :总结 2例第三鳃裂瘘管诊断与治疗的全过程。结果 :2例均多次行瘘管摘除术 ,又破溃数次 ,行瘘管碘油造影术后吞服稀钡行食道造影术 ,钡剂自瘘口漏出而确诊 ,在全麻下行瘘管切除术而痊愈 ,2例病理诊断均为鳞状上皮覆盖肉芽组织。结论 :鳃裂瘘管是由鳃沟或咽囊不完全闭合引起 ,稀钡食道造影及术前吞服美蓝的方法准确、简便、经济。
Objective:To improve the level of diagnosis and treatment of the third branchial fistula.Method:The experiences in managing 2 cases of third branchial fistula were summarized.Results:2 cases were operated fistulectomy several times,then ruptured several times.First 2cases had been given radiography for fistula using iodipin,then swallowed thin sulfate barium,and they were found sulfate barium flowed from fistula introituses. Operared fisfulectomy in anesthesia general,2 cases were cured.The 2 cases′ pathological diagnosis were granulation covered with squama epithelium.Conclusion:Branchial fistula is caused by incompletely closure of branchial furrow or pharyngeal bursa.Radiography using thin sulfate barium and swallowing methylthioninum chloride preoperative are accurate,simple and economical methods.The only treatment for fistula is complete fiatulectomy.
关键词
鳃区
瘘
诊断
耳鼻咽喉科
治疗
Branchial region
Fistula
Diagnosis,otorhirolaryngologic
Treatment outcome
