应用三维CT诊断鳃裂囊肿及瘘管1例

The application of three-dimensional CT in diagnosis of the branchial cleft cyst and fistula

患儿,男,10岁,以＂发现右侧颈部瘘口伴溢液9年＂为主诉入院。该患儿母亲于9年前无意中在患儿右侧颈部发现一小瘘口,挤压时溢出胶冻样半透明分泌物,但无不适感,故未进行系统诊治。近年来瘘口溢出物较之前明显增多,于2015年1月19日到我院就诊,门诊以右侧鳃裂囊肿及瘘管收治入院。病程中无发热、颈部疼痛、吞咽困难、声嘶表现,饮食及睡眠良好,二便如常。既往因慢性扁桃体炎在我院行扁桃体切除术。入院后查体：

The patient complained of finding on the right side of the neck fistula with discharge nine years.In recently,fistula spills significantly increased compared with the previous.Special physical examination：Right sternocleidomastoid middle 1/3front border is seen here in a small fistula,translucence jelly secretion were spilling out when squeezeing the fistula,no smell.Ultrasound：On the right side of the upper cervical skin to submandibular gland rear could see tubular low echo area.MRI：Visible on the right side of the neck tube signal,after the submandibular gland rear.Three-dimensional CT：Visible on the right side of the neck by skin sinus crossings as deep as the tonsillar fossa lumen containing contrast agent.Clinical diagnosis：The second branchial cleft cyst and fistula.