Weerda H, Ahrens K H, Schlenter W W
Klinik für Hals-, Nasen- und Ohrenheilkunde, Medizinischen Universität zu Lübeck.
Laryngorhinootologie. 1989 Dec;68(12):675-7. doi: 10.1055/s-2007-998428.
In the treatment of the pharyngeal pouch diverticulectomy and endoscopic diverticulotomy are generally accepted. The latter can lead to severe bleeding and mediastinitis. --Therefore the authors have extended the preoperative diagnostic procedure to include a DSA of the aortic arch. The simultaneous contrast filling of the pouch enables the exact position of the blood vessels relative to the bar to be established. --With the spreadable diverticuloscope developed by the authors, the use of a CO2 laser and an operating microscope, optimum endoscopic working conditions are assured. Postoperative sealing of the wound margin with fibrin reduces the likelihood of postoperative bleeding and mediastinitis, the risk of which have been further reduced by antibiotic prophylaxis and tube feeding for eight days. During and after the treatment of ten patients not a single complication has arisen.
在咽囊憩室切除术的治疗中，通常采用憩室切除术和内镜憩室切开术。后者可能导致严重出血和纵隔炎。——因此，作者扩展了术前诊断程序，包括对主动脉弓进行数字减影血管造影（DSA）。同时对憩室进行造影剂充盈，能够确定血管相对于隔的精确位置。——使用作者研发的可扩展憩室镜、二氧化碳激光和手术显微镜，可确保最佳的内镜操作条件。用纤维蛋白对伤口边缘进行术后封闭，可降低术后出血和纵隔炎的可能性，通过抗生素预防和八天的管饲，进一步降低了相关风险。在对10例患者的治疗过程中和治疗后，未出现一例并发症。
