Wang L F, Liu L, Sang J Z, Chen L, Xie X J, Cao H
Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Apr;32(8):610-613. doi: 10.13201/j.issn.1001-1781.2018.08.013.
To investigate the therapeutic effect of low-temperature plasma cauterization on the treatment of congenital pyriform sinus fistula(CPSF).All the 146 patients with CPSF received imaging examination, and the low-temperature plasma cauterization under laryngoscope was performed in the stage of inflammation control.After 6-59 months of follow-up, all patients did not have pharynx fistula, and no massive hemorrhage occurred during and after operation. Nine cases of hoarseness after operation 2 d-1 months to restore normal. Thirty cases were suspected of recurrence, of which 8 cases were cured after incision and drainage, and 4 cases were cured after two cauterization.Low-temperature plasma cauterization is the preferred treatment for the microinvasive, simple, beautiful and repeatable operation of PSF, which can be sugessted as the first-line choice for the treatment of sinus and fistula.
探讨低温等离子体烧灼术治疗先天性梨状窝瘘（CPSF）的疗效。146例CPSF患者均接受影像学检查，在炎症控制期行喉镜下低温等离子体烧灼术。随访6 - 59个月，所有患者均未出现咽瘘，术中及术后均未发生大出血。9例术后2 d至1个月出现声音嘶哑，后恢复正常。30例怀疑复发，其中8例行切开引流后治愈，4例行二次烧灼后治愈。低温等离子体烧灼术治疗PSF具有微创、操作简单、美观且可重复等优点，可作为梨状窝瘘治疗的一线选择。
