Fraczek M, Karwowski A, Krawczyk M, Paczkowski P, Nyckowski P, Pawlak B, Najnigier B, Paluszkiewicz R
Katedry i Kliniki Chirurgii Ogólnej i Chorób Watroby Akademii Medycznej w Warszawie.
Wiad Lek. 1997;50 Suppl 1 Pt 1:269-72.
From 1976 to 1996, thirty nine patients were surgically treated for pharyngoesophageal diverticulum. The present study aimed to compare two methods of operative treatment of Zenker's diverticulum: excision (group I) and pexy, both of which were associated with upper esophageal sphincter myotomy. The main indication for surgery was dysphagia. The diagnosis of Zenker's diverticulum was based on clinical symptoms and the result of upper GI tract barium examination. In 75% of patients the diameter of diverticulum exceeded 2 cm. No patient died in the perioperative period. The main complications observed in the postoperative period were of pulmonary origin. In group I (excision) a leakage from the suture line occurred in 2 patients (12.5%). Time of follow-up ranged from 1 to 20 years (mean: 7 years). The comparison of both methods of treatment employed is in favour of diverticulopexy, being a safer and less complications-bearing method, although both of them give similar functional results.
1976年至1996年期间，39例患者接受了咽食管憩室手术治疗。本研究旨在比较两种治疗Zenker憩室的手术方法：切除术（第一组）和固定术，两种方法均联合行食管上括约肌肌切开术。手术的主要指征为吞咽困难。Zenker憩室的诊断基于临床症状及上消化道钡餐检查结果。75%的患者憩室直径超过2 cm。围手术期无患者死亡。术后观察到的主要并发症源于肺部。在第一组（切除术）中，2例患者（12.5%）出现缝线处渗漏。随访时间为1至20年（平均7年）。所采用的两种治疗方法比较显示，固定术更具优势，它是一种更安全、并发症更少的方法，尽管两种方法的功能效果相似。
