Bowdler D A, Stell P M
University Department of Otorhinolaryngology, Royal Liverpool Hospital, UK.
Br J Surg. 1987 Nov;74(11):988-90. doi: 10.1002/bjs.1800741110.
At present one-stage excision of the posterior pharyngeal pulsion diverticulum is the most popular method of treatment in the UK and the USA. We have reviewed 53 patients who have presented to this unit between 1968 and 1986, to compare the results of different surgical techniques. Of these, 21 underwent excision and myotomy, 20 inversion and myotomy, and 9 myotomy alone. The results show that the mortality for the whole group was 4 per cent, but there were no deaths in either the inversion or myotomy group. The excision group had a complication rate of 52 per cent, compared with 30 per cent for inversion, and also had more major problems such as fistula. Median hospital stay was shorter for inversion than for excision, at 7 and 10 days respectively. In summary we believe that inversion of the posterior pharyngeal pulsion diverticula is now the surgical treatment of choice.
目前，咽后膨出憩室一期切除术是英国和美国最常用的治疗方法。我们回顾了1968年至1986年间在本单位就诊的53例患者，以比较不同手术技术的结果。其中，21例行切除术和肌切开术，20例行内翻术和肌切开术，9例仅行肌切开术。结果显示，全组死亡率为4%，但内翻术组或肌切开术组均无死亡病例。切除术组的并发症发生率为52%，而内翻术组为30%，且切除术组还存在更多诸如瘘管等严重问题。内翻术组的中位住院时间短于切除术组，分别为7天和10天。总之，我们认为咽后膨出憩室内翻术目前是首选的手术治疗方法。
