van Overbeek J J
Department of Otorhinolaryngology, University Hospital, Groningen, The Netherlands.
Ann Otol Rhinol Laryngol. 1994 Mar;103(3):178-85. doi: 10.1177/000348949410300303.
Much discussion in the literature concerning Zenker's diverticulum is related to etiology. Various theories have been propounded, but no single conclusion is generally accepted. We believe that an anatomic predisposition plays a prominent role. Considerations for this conclusion will be discussed. In the otorhinolaryngology departments of University Hospital and Martini Hospital (Groningen, the Netherlands) 545 patients with a diverticulum were treated endoscopically since 1964. Initially we used the procedure described by Dohlman. With the increase in the number of patients, the technique and instruments used have improved. In 1981 we started to apply a microendoscopic procedure with a special double-lipped scope and the carbon dioxide laser. The rate of complications was very low, and 91% of the patients are highly satisfied. In view of our results, we feel justified in maintaining that endoscopic treatment is a relatively safe and effective method.
文献中关于Zenker憩室的诸多讨论都与病因有关。已经提出了各种理论，但没有一个单一的结论被普遍接受。我们认为解剖学易感性起着重要作用。将讨论得出这一结论的相关考量因素。自1964年以来，在大学医院和马提尼医院（荷兰格罗宁根）的耳鼻喉科，545例憩室患者接受了内镜治疗。最初我们采用Dohlman描述的手术方法。随着患者数量的增加，所使用的技术和器械也有所改进。1981年，我们开始应用一种配备特殊双唇镜和二氧化碳激光的微型内镜手术。并发症发生率非常低，91%的患者非常满意。鉴于我们的结果，我们认为有理由坚持认为内镜治疗是一种相对安全有效的方法。
