Aggerholm K, Illum P
J Laryngol Otol. 1990 Apr;104(4):312-4. doi: 10.1017/s0022215100112575.
One-hundred-and-fifty patients with Zenker's diverticulum were reviewed; twelve patients received no treatment; 26 patients were treated endoscopically by dilatation, five of these had a diverticulectomy performed at a later stage. One-hundred-and-ten patients had a diverticulectomy performed (a total of 115 primary operations were performed). Eighteen of the patients operated upon had a recurrence and six underwent re-operation. Local complications occurred in 24 patients. Seven patients had a fistula and two had mediastinitis. Ten patients had recurrent nerve palsy, of which five were permanent. Thirteen patients had other complications, usually infection. One death occurred. Post-operative prophylactic treatment with antibiotics was found to significantly reduce the number of local infectious complications and a correlation was found between the occurrence of local, infectious complications and later recurrence of the pouch.
回顾了150例Zenker憩室患者；12例患者未接受治疗；26例患者接受了内镜扩张治疗，其中5例在后期进行了憩室切除术。110例患者进行了憩室切除术（共进行了115次初次手术）。接受手术的患者中有18例复发，6例接受了再次手术。24例患者出现局部并发症。7例患者发生瘘管，2例发生纵隔炎。10例患者出现反复神经麻痹，其中5例为永久性。13例患者有其他并发症，通常为感染。发生1例死亡。发现术后使用抗生素进行预防性治疗可显著减少局部感染性并发症的数量，并且发现局部感染性并发症的发生与后期憩室复发之间存在相关性。
