38例鳃裂囊肿及瘘管误诊原因分析  

Causes analysis of misdiagnosis in 38 cases about branchial cyst and fistula

作　　者：王桂芳[1] 王庭良[1] Wang Guifang;Wang Tingliang(Department of Otorhinolaryngology,The 59th Hospital ofPLA,Kaiyuan,Yunnan,661600,China)

机构地区：[1]解放军第五十九医院耳鼻喉科,云南开远661600

出　　处：《中国医学文摘（耳鼻咽喉科学）》2018年第4期312-314,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的提高鳃裂囊肿(瘘)诊治水平。方法对我院收治的38例鳃裂囊肿和瘘患者的临床表现、诊断、治疗及随访情况结合文献进行回顾性对分析。结果本组38例鳃裂囊肿和瘘第1与第2鳃裂囊肿及瘘管的发生率相当,大于20岁的各年龄段患者发病例数无显著性差异;根据发生部位与临床特征以及CT、造影和B超检查进行确诊,经彻底手术治疗,均能一次治愈。结论鳃裂囊肿(瘘)的有效治疗方法为手术,充分的术前检查和合理的手术方案是治疗成功的关键。Objective To improve the level of diagnosis and treatment of branchial cyst cleft and fistula. Methods The clinical manifestations,diagnosis,treatment and follow-up of 38 patients with branchial cleft cyst and fistula were analyzed retrospectively. Results The incidence of branchial cleft cyst and the first and second branchial cleft cyst and fistula in 38 cases were equivalent,and there was no significant difference in occurrence rate between different age groups over the age of 20. The diagnosis was made according to the location and clinical characteristics,CT,radiography,and B ultrasonic and so on. They can be treated by operation. Conclusion The effective treatment for branchial cleft cyst（branchial cleft fistula）is surgery. Adequate preoperative preparation and reasonable surgical plan is the key to successful treatment.

关 键 词：先天性疾病 鳃裂囊肿 鳃裂瘘 

分 类 号：R739.91[医药卫生—肿瘤]