Dong J J, Tian X F
Department of Otorhinolaryngology Head and Neck Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Jun 7;53(6):444-447. doi: 10.3760/cma.j.issn.1673-0860.2018.06.011.
To evaluate the imaging features, clinical presentation, operative methods complication and the surgical outcomes of the congenital pyriform sinus fistula(CPSF). The clinical data of 185 patients with CPSF treated from January 2013 to October 2017 at the First Affiliated Hospital of Zhengzhou University were analyzed retrospectively. The lesions were predominantly on the left side(170/185). Among 185 cases, 146 cases received endoscopic coblation cauterization, 27 cases had traditional open surgery, 8 cases underwent endoscopic coblation cauterization plus traditional open surgery, 2 cases for endoscopic chemocauterization, and 2 cases for endoscopic electrosection. Twenty-eight cases recurred, with a recurrence rate of 15.1%. Postoperative hoarseness occurred in 22 cases, disappeared within 0.5-6.0 months later. Patients with a history of recurrent cervical abscess should be highly suspect the existence of CPSF. Endoscopic coblation cauterization is a kind of surgical method with minimal injury, with low recurrence rate and low operative risk.
评估先天性梨状窝瘘（CPSF）的影像学特征、临床表现、手术方法、并发症及手术效果。回顾性分析2013年1月至2017年10月在郑州大学第一附属医院治疗的185例CPSF患者的临床资料。病变主要位于左侧（170/185）。185例中，146例行内镜下等离子消融烧灼术，27例行传统开放手术，8例行内镜下等离子消融烧灼术联合传统开放手术，2例行内镜化学烧灼术，2例行内镜电切术。28例复发，复发率为15.1%。术后22例出现声音嘶哑，0.5 - 6.0个月后消失。有复发性颈深部脓肿病史的患者应高度怀疑存在CPSF。内镜下等离子消融烧灼术是一种创伤极小、复发率低且手术风险低的手术方法。
