颈部食管憩室误诊甲状腺癌五例分析及文献复习  

Diverticulums in the cervical esophagus misdiagnosed thyroid cancer

作　　者：郑海涛[1] 许洁[1] 姜立新[1] 

机构地区：[1]青岛大学医学院附属烟台毓璜顶医院甲状腺外科,山东省烟台264000

出　　处：《中华普外科手术学杂志（电子版）》2014年第1期73-74,共2页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的探讨颈段食管憩室的临床特点、诊断和治疗方法,避免误诊甲状腺癌。方法回顾性分析颈段食管憩室误诊为甲状腺癌的临床资料,5例患者均术前误诊为甲状腺癌,其中Zenker憩室4例,Killian-Jamieson憩室1例,患者均系查体发现,术前无临床症状。结果 5例患者中行手术切除3例,观察1例,内翻缝合1例,无并发症发生,随访6个月到4年无复发。结论 Zenker憩室和Killian-Jamieson憩室具有不同的临床特征,甲状腺外科医师应该熟知,避免误诊和误治。Objective The clinical manifestations, diagnosis and treatment of diverticulum in the eervical esophagus were investigated to avoid nfisdiagnosis. Methods We retrospectively analyzed 5 cases nfisdiaguosed of diverticulum of the cervical esophagus from 2009 to 2013 at our hospital. Results Diverticlum was resected in 3 cases, inward suture was done in one case, and observation was given in 1 case. No operative complieations nor recurrence occurred during a follow-up for 6 months to 4 years. Conclusions Killian-Jamieson diverticulum and Zenker diverticulum have diferent clinical characteristics. Thyroid surgeons should have a sound knowledge about it so as to avoid misdiagnosis and treatment of diverticulum.

关 键 词：憩室 食管 甲状腺肿瘤 误诊 

分 类 号：R736.1[医药卫生—肿瘤]