感染性第三鳃裂瘘管的手术时机选择及治疗分析

The choice of surgical time and treatment for the infective third branchial fistula

目的探讨感染性第三鳃裂瘘管的手术时机选择和治疗。方法回顾分析四川省人民医院耳鼻咽喉头颈外科2010年1月~2015年12月收治的9例感染性第三鳃裂瘘管患者的临床资料,9例患者均在全麻下行颈淋巴结清扫术。术中根据不同情况进行了相应的处理。结果 9例患者中3例患者有明显内瘘口,6例患者未发现明显内瘘口,所有患者伤口愈合良好,无一例发生感染。术后随访6~54个月,平均24个月,术后均未复发。结论对于感染性第三腮裂瘘管的患者,手术切除瘘管组织是有效的治疗手段。术前的准确诊断,良好的手术时机选择和术中对于瘘管组织的彻底切除是提高治疗成功率以及防止复发的关键。

Objective To study the choice of surgical time and treatment for the infective third branchial fistula.Methods Clinical data of 9 patients suffering from infective third branchial fistula surgically treated in our hospital between 2010 and 2015 were analyzed retrospectively.Neck dissection was carried out in all 9 cases.Results During operation,obvious inner orificium was detected in 3 cases.The wound healed properly in all patients without infection.They were followed up for 6 to 54 months（mean 24 months） postoperatively,and no recurrence occurred.Conclusions Surgical operation is an effective treatment method for the infective third branchial fistula.Accurate diagnosis,proper choice of surgical time and radical resection of the fistula tissue are the key points to improve the cure rate and prevent recurrence.