内镜下切除第二鳃裂瘘管疗效观察

发布时间：2018-08-27 12:41

【摘要】：目的:探讨内镜下切除第二鳃裂瘘管的疗效。方法:患者均采用颈部CT扫描,扫描前自胸锁乳突肌前缘下1/3处瘘管外口注入碘氟醇320注射液直至患者感觉咽部有液体流入开始行颈部CT扫描,然后进行三维重建,以便了解瘘管全程的位置,为手术做准备。9例第二鳃裂瘘管患者实行全身麻醉,在内镜辅助下进行瘘管切除术。结果:9例第二鳃裂瘘管患者在内镜下完成瘘管切除术,随访6个月无复发。结论:内镜直视下切除第二鳃裂瘘管创伤小,切除瘘管完全、彻底,手术操作简单,容易推广。
[Abstract]:Objective: to study the curative effect of endoscope resection of second branchial fistula. Methods: all patients were scanned with cervical CT. Before scanning, iodoflurol 320 injection was injected from the external orifice of the sternocleidomastoid muscle 1 / 3 of the anterior edge of the sternocleidomastoid muscle before the CT scan was performed on the neck of the patients until there was a fluid inflow in the pharynx, and then 3D reconstruction was performed. In order to understand the location of fistula in the whole process, and to prepare 9 patients with second branchial fistula for surgery, general anesthesia was performed and fistula excision was performed under endoscope. Results 9 patients with second branchial fistula underwent endoscopic fistula resection. Conclusion: endoscopic resection of the second branchial fistula is less traumatic, complete, simple and easy to popularize.
【作者单位】：解放军第305医院耳鼻咽喉-头颈外科;
【分类号】：R762

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