喉返神经解剖在先天性梨状窝瘘切除术中的临床意义  

The clinical value of recurrent laryngeal nerve dissection in the surgical treatment for congenital pyriform sinus fistula

作　　者：姚良忠[1] 林齐发 陈良嗣[3] 王思棋 郝香月 朱艳丽[1] 刘俊捷[1] YAO Liangzhong;LIN Qifa;CHEN Liangsi;WANG Siqi;HAO Xiangyue;ZHU Yanli;LIU Junjie(Department of Otolaryngology,the First Affiliated Hospital of Guangdong Pharmaceutical University,Guangzhou,510080,China;Department of Ophthalmology and Otorhinolaryngology,Guangdong Liannan Yao Autonomous County People's Hospital;Department of Otorhinolaryngology Head and Neck Surgery,Guangdong Provincial People's Hospital,Southern Medical University)

机构地区：[1]广东药科大学附属第一医院耳鼻咽喉科,广州510080 [2]广东省连南瑶族自治县人民医院五官科 [3]南方医科大学附属广东省人民医院(广东省医学科学院)耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2023年第10期801-803,808,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的探讨喉返神经解剖在颈部开放性手术切除先天性梨状窝瘘(congenital pyriform sinus fistula,CPSF)的临床意义。方法回顾性分析广东药科大学附属第一医院2016年4月—2019年12月间行颈部开放手术切除42例CPSF患者的临床资料。结果所有患者术中均进行喉返神经全段解剖,将瘘管完整分离及切除,术后无喉返神经损伤并发症,随访期内无复发病例。结论CPSF瘘管走行与喉返神经关系密切,在术中先行喉返神经解剖可避免损伤,减少并发症。Objective To explore the clinical value of recurrent laryngeal nerve dissection in the surgical treatment for congenital pyriform sinus fistula(CPSF).Methods The clinical data of 42 patients with CPSF were retrospectively analyzed.All patients were diagnosed and treated in the First Affiliated Hospital of Guangdong Pharmaceutical University.Results During the operation,all patients'recurrent laryngeal nerves were dissected successfully,and fistulas were resected completely,no patients had complication of recurrent laryngeal nerve's damage.There were no recurrence cases during the 13 to 48 months of follow-up.Conclusion The trend of congenital pyriform sinus fistula is closely related to recurrent laryngeal nerve,it's important to dissect the recurrent laryngeal nerve during the operation for congenital pyriform sinus fistula.

关 键 词：喉返神经 先天畸形 梨状窝瘘 外科手术 

分 类 号：R653[医药卫生—外科学]