颈外切除治疗新生儿囊肿型梨状窝瘘  

Treatment of neonatal cystic piriform fossa fistula by external cervical resection

作　　者：赵振鹿 纪尧峰 周钦 孟兆雪 刘盼 柳荫 ZHAO Zhenlu;JI Yaofeng;ZHOU Qin;MENG Zhaoxue;LIU Pan;LIU Yin(Department of Otolaryngology,Xuzhou Children’s Hospital Affiliated to Xuzhou Medical University,Xuzhou 221000,China)

机构地区：[1]徐州医科大学附属徐州儿童医院耳鼻咽喉科,江苏徐州221000

出　　处：《中国耳鼻咽喉颅底外科杂志》2024年第4期91-93,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：徐州市卫生健康委医学科技创新项目(XWKYHT20220083)。

摘　　要：目的探讨新生儿囊肿型梨状窝瘘的手术治疗方法。方法收集2020年5月-2023年5月徐州儿童医院耳鼻咽喉科及外科重症监护室收治的8例囊肿型梨状窝瘘的新生儿病例,患儿平均年龄16 d,采用囊内减压-颈外切除的手术方法,暴露囊肿后,先用50 mL注射器抽取部分囊内液体,使囊肿体积缩小,便于囊壁分离,然后完整切除病灶。观察患儿术中、术后并发症及复发情况。结果8例患儿均手术顺利,术后1例患儿出现咽瘘情况,1例患儿术后即出现声音嘶哑,余患儿术后恢复良好,无复发病例。结论囊内减压-颈外切除是根治新生儿囊肿型梨状窝瘘的改良术式,早期治疗可及时缓解患儿呼吸困难情况。Objective To investigate the surgical treatment of neonatal cystic piriform fossa fistula.Methods A total of 8 neonatal cases of cystic piriform fossa fistula admitted to the department of otolaryngology and surgical intensive care unit of Xuzhou Children’s Hospital from May 2020 to May 2023 were collected.The average age of the pediatric patients was 16 days.Intracapsular decompression and external cervical excision were performed.After the cyst was exposed,part of the cyst fluid was extracted with a 50 mL syringe to reduce the volume of the cyst,which facilitated the separation of the cyst wall,and then the lesion was completely removed.Their intraoperative and postoperative complications and recurrence were observed.Results All the 8 pediatric patients were operated smoothly,two of them had pharyngeal fistula and hoarseness respectively after operation.The other pediatric patients recovered well and no recurrence after operation.Conclusions Intracapsular decompression-external cervical resection is an improved surgical method for the radical treatment of neonatal cystic piriform fossa fistula.Early treatment can alleviate dyspnea of the pediatric patients in time.

关 键 词：梨状窝瘘 新生儿 囊肿型 囊内减压 颈外切除 

分 类 号：R653[医药卫生—外科学]