先天性第一鳃裂畸形临床特点分析:附56例报告

发布时间：2018-02-12 01:42

  本文关键词： 先天性第一鳃裂畸形 鼓膜蹼 误诊　出处：《临床耳鼻咽喉头颈外科杂志》2016年17期 　论文类型：期刊论文

【摘要】：目的:总结先天性第一鳃裂畸形(CFBCA)的临床特点。方法:回顾性分析2005-05-2015-04期间收治的临床资料完整的56例CFBCA病例。结果:主要临床表现为无痛性肿物(26.8%)、反复肿痛流脓(71.4%)、耳科症状(耳道溢液、听力下降等,28.6%)。37例有感染症状者行脓液或分泌物培养,其中11例阳性,最常见的细菌为铜绿假单胞菌和金黄色葡萄球菌。耳内镜检查可发现耳道狭窄、耳道胆脂瘤样物堆积、耳道底壁骨软骨交接处内瘘口和鼓膜蹼;CT(MRI)典型表现:Pochet's三角区内与耳道关系密切,增强扫描囊壁或管壁可强化的囊状、分叶状或管状异常影,部分病灶与皮肤相通。WorkⅠ型多为囊肿型,常为无感染症状的成年患者(P0.01);WorkⅡ型多为窦道(瘘管)型,可伴有鼓膜蹼,常为有感染症状的未成年患者(P0.01)。结论:CFBCA较罕见,多见于未成年患者,左侧好发,常表现为Pochet's三角区内的无痛性肿物、反复肿胀流脓或耳道溢液等。耳内镜、CT和MRI等检查可协助确诊,临床需根据不同表现与相关疾病进行鉴别。
[Abstract]:Objective: to summarize the clinical features of congenital first branchial cleft malformation (CFB CA). Methods: 56 cases of CFBCA with complete clinical data were analyzed retrospectively from May 2005 to April 2015.Results: the main clinical manifestations were painless tumor, 26.8D, recurrent swelling and pain, and purulent discharge. The symptoms of otology (ear canal discharge, ear canal discharge, Among them, 11 cases were positive. The most common bacteria were Pseudomonas aeruginosa and Staphylococcus aureus. The typical manifestation of CTMRI in the osseous junction of the bottom wall of the auditory meatus is: 1 Pochets triangle is closely related to the auditory canal, and the cystic, lobular or tubular abnormal shadow which can be enhanced by scanning the cystic wall or the wall of the tube can be enhanced. Some lesions are related to the skin. Work I type is mostly cyst type, and P0.01Work 鈪，

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