Illum P, Nielsen K A
Ore-naese-halsafdeling H. Arhus Kommunehospital.
Ugeskr Laeger. 1990 Jul 16;152(29):2116-8.
During a period of 25 years, 115 patients with Zenker's diverticulum were submitted to diverticulectomy in the Ear-Nose and Throat Department of Arhus Municipal Hospital. The condition recurred in 18 of the patients treated operatively. In 24 patients (21%), local complications most of which were infective occurred. Ten patients developed paresis of the recurrent nerve and this was permanent in half of these. Thirteen patients (11%) developed other complications which were most frequently infective and one death occurred. It was found that postoperative prophylactic antibiotic treatment could reduce the number of local infective complications significantly and that there was a correlation between the occurrence of local infective complications and subsequent recurrences. No connection was found between the occurrence of local or other complications and the age of the patient. The endoscopic operative technique with CO2-laser has proved a rapid and safe method of treatment which appears to result in fewer complications and briefer periods of hospitalization.
在25年的时间里，奥胡斯市立医院耳鼻喉科对115例Zenker憩室患者实施了憩室切除术。接受手术治疗的患者中有18例病情复发。24例患者（21%）出现局部并发症，其中大多数为感染性并发症。10例患者出现喉返神经麻痹，其中半数为永久性麻痹。13例患者（11%）出现其他并发症，最常见的也是感染性并发症，且有1例死亡。研究发现，术后预防性使用抗生素治疗可显著减少局部感染性并发症的数量，且局部感染性并发症的发生与随后的复发之间存在相关性。未发现局部或其他并发症的发生与患者年龄之间存在关联。二氧化碳激光内镜手术技术已被证明是一种快速且安全的治疗方法，似乎可减少并发症并缩短住院时间。
