先天性鳃裂瘘管和囊肿的误诊分析

Analysis of Misdiagnosis on Congenital Branchiogenic Cyst and Fistula

目的 探讨先天性鳃裂囊肿和瘘管误诊原因及减少误诊的途径。方法 回顾性分析 2 5例先天性鳃裂囊肿和瘘管的临床特点及辅助检查结果。结果 2 5例患者中有 10例被误诊为慢性化脓性中耳炎等疾病 ,误诊时间最长为8a,最短为 0 .5 a。手术次数最多者达 6次。误诊原因 :1对本病认识不够 ;2临床表现不典型 ;3未行必要的辅助检查。结论 先天性鳃裂囊肿和瘘管的误诊并不少见 ,临床医师应提高对本病的认识 ,以减少误诊 ,达到早期手术根治的目的。

Objective To investigate the causes of the congenital branchiogenic cyst and fistula misdiagnosed and the way to reduce misdiagnosis.Methods The clinical manifestations and auxiliary examination of 25 patients with congenital branchiogenic cyst and fistula were retrospectively analysed.Results 10 of 25 patients with congenital branchiogenic cyst and fistula were misdiagnosed as otitis media or other diseases for a long time from half of year to 8 years.The reasons of misdiagnosis were following:①insufficient understanding about the disease;②not typical of the clinical manifestations;③lack of auxiliary examination necessarily.Conclusions It's not less that the congenital branchiogenic cyst and fistula was misdiagnosed.Clinician should improve the understanding of the congenital branchiogenic cyst and fistula in order to reduce the misdiagnosis of it and treat it in early stage on operation.