内镜下电灼术治疗梨状窝瘘

Endoscopic electrocautery in the treatment of pyriform sinus fistula

目的:探讨内镜下电凝封闭梨状窝内瘘口治疗梨状窝瘘的应用价值。方法:对2011年1月至2013年10月郑州大学第一附属医院耳鼻喉科收治的8例梨状窝瘘管患者在全麻下行内镜辅助下电凝封闭梨状窝内瘘口,对患者的临床资料、术后复发率及并发症进行分析。结果:8例患者术后均顺利拔出胃管,恢复正常饮食。其中7例患者无复发,1例患者复发后行颈外进路梨状窝瘘管切除术,术后顺利痊愈。所有患者均未见永久性喉返神经麻痹或甲状腺功能低下等并发症。结论:内镜辅助下电凝封闭梨状窝内瘘口治疗梨状窝瘘是一种安全有效的方法,可作为颈部开放性手术的一种替代疗法。

Objective ： To evaluate the value of electrocautery in the treatment of pyriform sinus fis- tula. Methods ： 8 cases of piriform fossa fistula in the First Affiliated Hospital of Zhengzhou Uni- versity from January 2011 to October 2013 were selected. All patients received general anesthesia and were treated by endoscopic electrocoagulation of pyriform sinus fistula. The clinical data, re- currence and complications were analyzed. Results： All 8 cases were cured. 1 recurrence patient was treated by surgery resection for pyriform sinus fistula. The remaining 7 cases didn＇ t recur. All patients had no complications, such as permanent recurrent laryngeal nerve paralysis or hypothy- roidism. Conclusion： Endoscopic electrocauterization of pyriform fossa sinus tracts is a safe and effective treatment for most patients. It can be used as a replacement therapy of open operation of neck.