不完全性第三鳃裂内瘘管食管稀钡造影诊断及临床价值

Clinical value of esophagography with diluted barium in the diagnosis of incomplete third branchial fistula

目的评价食管稀钡检查诊断不完全性第三鳃裂内瘘管的临床价值。方法分析10例不完全性第三鳃裂内瘘管的食管稀钡造影资料。结果食管稀钡造影表现为自左侧或右侧梨状窝侧前方向下延伸的充盈钡剂的盲管状通道,长3～10cm,宽0.3～0.5cm。结论食管稀钡检查是诊断不完全性第三鳃裂内瘘管简便有效的检查方法,可清晰显示其内瘘口、瘘管形态、长度及走向,对临床诊断、鉴别诊断和治疗有重要意义。

Objective To evaluate the clinical value of esophagography with diluted barium in the diagnosis of incomplete third branchial fistula. Methods The clinical and esophagographic features of the incomplete third branchial fistula in 10 patients were analyzed retrospectively. Results The incomplete third branchial fistula was characterized by the blind tract full of barium extending downward from the flanking front of left or right pyriform sinus with a length of 3 - 10 cm and width of 0. 3 - 0. 5 cm. Conclusion Due to its distinct display of the inner orifice, configuration, length, and direction of fistula, esophagogrphy with diluted barium is a simple and effective method to diagnose the incomplete third branchial fistula with important significance for clinical diagnosis, differential diagnosis, and treatment.