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咽食管憩室

Pharyngoesophageal diverticula.

作者信息

Yarbrough D R, Cunningham E R, Holmes H B

出版信息

South Med J. 1980 Sep;73(9):1251-4. doi: 10.1097/00007611-198009000-00024.

Abstract

We reviewed 17 cases of pharyngoesophageal diverticula treated at the Medical University of South Carolina during the period 1955 to 1979. Of these 17 patients, 13 had primary excision of the diverticulum, with no deaths, one recurrence, and two significant complications. One patient with a perforated diverticulum died after simple drainage. The average age of the patients was 68, with a range of 40 to 83 years. The indicence of concurrent serious disease was quite high. We conclude that primary diverticulectomy is the current treatment of choice and is the standard against which other surgical technics must be measured. The place of cricopharyngotomy deserves further evaluation.

摘要

我们回顾了1955年至1979年期间在南卡罗来纳医科大学接受治疗的17例咽食管憩室病例。在这17例患者中,13例行憩室一期切除术,无死亡病例,1例复发,2例出现严重并发症。1例憩室穿孔患者在单纯引流后死亡。患者的平均年龄为68岁,范围在40至83岁之间。并发严重疾病的发生率相当高。我们得出结论,一期憩室切除术是目前的首选治疗方法,也是必须用以衡量其他手术技术的标准。环咽肌切开术的地位值得进一步评估。

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