Pul N, Pul M
Department of Paediatrics of State Hospital, Edirne, Turkey.
Eur J Pediatr. 1995 Apr;154(4):275-6. doi: 10.1007/BF01957361.
The most common cause of a mass in the neck appearing only during straining is a laryngocele. On the other hand, the rare jugular phlebectasia may present in a similar manner. The cause of the jugular phlebectasia remains unclear. No treatment is indicated for this benign self-limiting condition. However, surgical removal for cosmetic purposes alone consists of a unilateral excision of the internal or external jugular vein; this produces no gross side-effects. Conclusion. Every patient with a swelling in the neck that enlarges in size after the Valsalva manoeuvre, straining, coughing or sneezing should be suspected of having jugular phlebectasia.
颈部肿物仅在用力时出现的最常见原因是喉气囊肿。另一方面，罕见的颈静脉扩张也可能以类似方式出现。颈静脉扩张的病因尚不清楚。对于这种良性自限性疾病无需治疗。然而，仅出于美容目的的手术切除包括单侧切除颈内静脉或颈外静脉；这不会产生明显的副作用。结论。每一位在瓦尔萨尔瓦动作、用力、咳嗽或打喷嚏后颈部肿物增大的患者都应怀疑患有颈静脉扩张。
