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新生儿先天性梨状窝瘘的治疗及术后疗效临床分析

[Clinical analysis of treatment and postoperative efficacy in neonatal congenital pyriform sinus fistula].

作者信息

Guo Yufeng, Gao Xingqiang, Deng Haiyan, Wu Xiaohui, Wu Zhiqin

机构信息

Department of Otolaryngology Head and Neck Surgery,Xiamen Children's Hospital,Xiamen,361006,China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 May;35(5):444-448. doi: 10.13201/j.issn.2096-7993.2021.05.014.

Abstract

To discuss the diagnosis and treatment of congenital pyriform sinus fistula(CPSF) in newborn. Clinical data of 5 patients with CPSF innewborn were reviewed and the clinical symptoms, auxiliary examinations, surgical methods were analyzed after the operation, patients were followed up closely at different stages. All the 5 neonates successfully completed the surgery without pharyngeal fistula, dysphagia, perifistula and distal fistula infection. Follow-up survey ranged from 3 months to 2 years and no one recurred. Neonatal CPSF is a rare disease with a short course of disease and rapid progression. In severe cases, it may threaten life and should be treated in time.

摘要

探讨新生儿先天性梨状窝瘘(CPSF)的诊断与治疗。回顾5例新生儿CPSF的临床资料,分析其临床症状、辅助检查、手术方式,术后对患者进行不同阶段的密切随访。5例新生儿均成功完成手术,无咽瘘、吞咽困难、瘘管周围及远端瘘管感染。随访时间3个月至2年,无一例复发。新生儿CPSF是一种罕见病,病程短,进展快。严重时可危及生命,应及时治疗。

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本文引用的文献

1
[Clinical practice guidelines for the diagnosis and management of congenital pyriform sinus fistula in children].[儿童先天性梨状窝瘘诊断与治疗临床实践指南]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Dec;34(12):1060-1064. doi: 10.13201/j.issn.2096-7993.2020.12.002.
2
[Bilateral pyriform sinus fistulas: a case report].[双侧梨状窦瘘:一例报告]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Sep;34(9):848-850. doi: 10.13201/j.issn.2096-7993.2020.09.018.
9
[Low temperature plasma minimally invasive treatment of children piriform fossa fistula].[低温等离子体微创治疗儿童梨状窝瘘]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2019 May;33(5):461-463. doi: 10.13201/j.issn.1001-1781.2019.05.019.
10
Fourth branchial anomalies: Predictive factors of therapeutic success.第四鳃裂畸形:治疗成功的预测因素。
J Pediatr Surg. 2019 Aug;54(8):1702-1707. doi: 10.1016/j.jpedsurg.2019.02.005. Epub 2019 Feb 21.

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