低温等离子射频消融治疗216例先天性梨状窝瘘的临床分析  

Clinical analysis of 216 cases of congenital pyriform sinus fistula treated by radiofrequency ablation

作　　者：窦倩雯 田秀芬[1] DOU Qianwen;TIAN Xiufen(Department of Otorhinolaryngology&Head and Neck Surgery,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,Henan,China)

机构地区：[1]郑州大学第一附属医院耳鼻咽喉头颈外科,河南郑州450052

出　　处：《山东大学耳鼻喉眼学报》2021年第2期43-49,共7页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：河南省高等学校重点科研项目(19A320082)。

摘　　要：目的探讨先天性梨状窝瘘的诊断方式,评估内镜低温等离子射频消融封闭内瘘口治疗先天性梨状窝瘘的疗效。方法收集首次接受经内镜低温等离子射频消融治疗的216例先天性梨状窝瘘患者资料并回顾分析。结果 216例中90.7%位于左侧,8.3%位于右侧,仅1.0%位于双侧;男女比约1.18∶1,年龄从23 d~66岁不等。失访8例,平均随访15个月,出现术后声嘶17例(8.2%),复发12例(5.8%),均无感染、呛咳或食管损伤。结论低温等离子射频消融封闭内瘘口可作为先天性梨状窝瘘的首选手术方式。Objective Congenital pyriform sinus fistula(CPSF) is a rare parotid source disease. It is easily misdiagnosed as a simple abscess in the neck in clinical practice. In the past, neck fistulectomy was usually the treatment of choice;however, it was traumatic, and the fistula could not be eliminated completely, thus leading to recurrence. Our study aimed to investigate congenital pyriform sinus fistula and evaluate the therapeutic effect of radiofrequency ablation in the treatment of congenital pyriform sinus fistula. Methods The data of 216 patients with congenital pyriform sinus fistula treated by radiofrequency ablation between March 2013 and May 2019 were collected and analyzed retrospectively. Results Among the 216 patients, the ratio of males to females was approximately 1.18∶1, and 90.7% of the cases were left-sided, 8.3% were right-sided, and only 1.0% were bilateral. The age range of the patients was 23-66 years. Eight patients were lost to follow-up, with an average follow-up of 15 months. Among 208 patients after coblation, 17 cases(8.2%) had postoperative hoarseness, 12 cases(5.8%) had recurrence, and there was no infection, irritating cough, or esophageal injury. Conclusion Radiofrequency ablation is the first choice for the treatment of congenital pyriform sinus fistula.

关 键 词：梨状窝瘘 腮裂畸形 射频消融 等离子 颈部肿块 急性化脓性甲状腺炎 

分 类 号：R726.5[医药卫生—儿科]