Diao W W, Zhu Y Y, Zhu X L, Li W Y, Chen X M
Department of Otorhinolaryngology, Peking Union Medical College Hospital, Peking UnionMedical College, Chinese Academy of Medical Sciences, Beijing, 100730, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Oct 5;32(19):1469-1471. doi: 10.13201/j.issn.1001-1781.2018.19.006.
To summarize the clinical characteristics of congenital pyriform fistula with acute suppurative thyroiditis as the initial presentation. A total of 71 patients with congenital pyriform sinus fistula were treated, of which 33 cases had acute suppurative thyroiditis as the first symptom. For the patients with congenital pyriform sinus fistula who have acute suppurative thyroiditis as the first symptom, infection should be controlled first. Full drainage should be done when necessary, and the lesion should be completely excised during the stable period. All the patients were followed up for 6 months to 216 months. No recurrence was found during follow-up. For patients with acute suppurative thyroiditis, the possibility of congenital pyriform sinus fistula should be considered.If the diagnosis of congenital pyriform sinus fistula is clear,the lesion should be completely resected by surgery. .
总结以急性化脓性甲状腺炎为首发表现的先天性梨状窝瘘的临床特点。共治疗71例先天性梨状窦瘘患者，其中33例以急性化脓性甲状腺炎为首发症状。对于以急性化脓性甲状腺炎为首发症状的先天性梨状窦瘘患者，应首先控制感染，必要时充分引流，病情稳定期彻底切除病灶。所有患者随访6个月至216个月，随访期间均无复发。对于急性化脓性甲状腺炎患者，应考虑先天性梨状窦瘘的可能。若先天性梨状窦瘘诊断明确，应行手术彻底切除病灶。
