功能性颈清扫术在复发性鳃裂畸形治疗中的应用  

Utilization of functional neck dissection for treatment of recurrent branchial cleft anomalies

作　　者：张小萌[1] 孔维佳[1] 杨成章[1] 刘邦华[1] 熊新高[1] 朱立新[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院耳鼻咽喉科,武汉430022

出　　处：《临床耳鼻咽喉头颈外科杂志》2010年第6期247-249,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨功能性颈清扫术在复发性鳃裂畸形治疗中的应用。方法:回顾性分析我科采用功能性颈清扫术治疗复发性鳃裂畸形(瘘管和囊肿)患者15例的资料。结果:13例切口一期愈合,2例二期愈合,1例术后饮水呛咳,1个月后自行恢复,1例术后遗留Horner综合征。随访2个月～6年,除2例失访外,无一例复发。结论:功能性颈清扫术对于多次复发的第二、第三鳃裂畸形(瘘管和囊肿)是一种安全有效的治疗手段。Objective：To evaluate the utilization of functional neck dissection for treatment of recurrent branchial cleft anomalies.Method：Fifteen patients with recurrent branchial cleft anomalies（fistula and cyst） undergoing functional neck dissection were retrospectively analyzed.Result：Complications included 2 incisions secondary healing,1 postoperative choking persisting for 1 months and 1 Horner＇s syndrome.There was no recurrence after a follow up from 2 months to 6 years,except 2 cases were lost to follow-up.Conclusion：Functional neck dissection is an effective and safe surgical management for recurrent second and third branchial cleft anomalies（fistula and cyst）.

关 键 词：鳃裂畸形 复发性 颈清扫术 功能性 

分 类 号：R764.1[医药卫生—耳鼻咽喉科]