Maurer K P, Junginger T, Kaltenborn H
Klinik für Allgemein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz.
Chirurg. 1991 Sep;62(9):673-6.
Eighteen patients with a pharyngoesophageal diverticulum were operated on at the University Department of Surgery, Mainz, between September 1985 and July 1990. Results are based on follow-up studies of 15 patients. Three patients were operated upon less than six months ago. All patients underwent excision of the diverticulum and a cricopharyngeal myotomy. The mean age was 69 (49-84) years and the average follow-up interval was 30 (6-52) months. Twelve of the fifteen patients are free of symptoms concerning the esophagus since the operation. Two patients who died 17 resp. 22 months after the operation were also free of symptoms concerning the esophagus. In all 11 patients who had a barium contrast, swallowing was normal and no recurrence was found. The results show excision of the diverticulum combined with a cricopharyngeal myotomy to be an effective method with low risk for the long-term removal of pharyngoesophageal diverticulum.
1985年9月至1990年7月期间,美因茨大学外科收治了18例患有咽食管憩室的患者并对其进行了手术。结果基于对15例患者的随访研究。3例患者在不到6个月前接受了手术。所有患者均接受了憩室切除术和环咽肌切开术。平均年龄为69岁(49 - 84岁),平均随访间隔为30个月(6 - 52个月)。15例患者中有12例术后无食管相关症状。2例分别在术后17个月和22个月死亡的患者也无食管相关症状。在所有接受钡剂造影的11例患者中,吞咽正常,未发现复发。结果表明,憩室切除术联合环咽肌切开术是一种有效且风险低的长期治疗咽食管憩室的方法。