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[下咽憩室(Zenker憩室)的激光憩室切开术]

[Laser diverticulotomy in hypopharyngeal diverticulum (Zenker's diverticulum)].

作者信息

Hannisdal K S, Brøndbo K

机构信息

Ore-nese-halsavdelingen Rikshospitalet, Oslo.

出版信息

Tidsskr Nor Laegeforen. 1997 Feb 28;117(6):810-2.

PMID:9102975
Abstract

From 1992 until 1995 the Ear, Nose and Throat Department at the National Hospital investigated 29 patients and completed treatment of 28 patients with a hypopharyngeal diverticulum. A myotomy of the cricopharyngeal muscle was performed endoscopically using CO2 laser. One patient developed mediastinitis as a result of perforation during initial hypopharyngoscopy. Most of the patients reported improvement of the dysphagia. The advantages of this method are a shortened stay in hospital and less morbidity. In addition, the operation can be performed in elderly patients with other complicating diseases. This paper describes the surgical technique and the results.

摘要

1992年至1995年,国立医院耳鼻喉科对29例下咽憩室患者进行了调查,并完成了对28例患者的治疗。使用二氧化碳激光在内镜下进行环咽肌切开术。1例患者在初次下咽镜检查时因穿孔发生纵隔炎。大多数患者报告吞咽困难有所改善。该方法的优点是住院时间缩短,发病率降低。此外,该手术可在患有其他并发症的老年患者中进行。本文描述了手术技术及结果。

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