电子胃镜辅助下电凝灼烧封闭或瘘管切除术治疗鳃裂瘘管或囊肿的临床疗效分析

Analysis of the clinical effect of electric coagulation closure or fistulectomy assisted by electronic gastroscope on treatment of branchial fistula or cyst

目的分析电子胃镜辅助下电凝灼烧封闭或瘘管切除术治疗鳃裂瘘管或囊肿的临床疗效。方法选择2018年3月至2021年4月广西壮族自治区人民医院收治的鳃裂瘘管或囊肿患者20例,根据治疗方式分为观察组(电子胃镜辅助下的瘘管灼烧或封闭术)和对照组(传统颈部淋巴结清扫术),每组10例。比较两组手术时间、术中出血量、住院时间,以及术后并发症和复发情况。结果观察组手术时间短于对照组[65.50(36.75,113.25)min vs 150.00(75.00,231.00)min],且术中出血量更少[5.00(1.75,10.25)ml vs 23.50(20.00,57.50)ml],差异有统计学意义(P<0.05)。对照组术后复发1例,观察组发生术后感染1例。结论电子胃镜辅助下电凝灼烧封闭或瘘管切除术治疗鳃裂瘘管或囊肿可缩短手术时间,减少术中出血量,疗效良好。

Objective To analyze the clinical effect of electric coagulation closure or fistulectomy assisted by electronic gastroscope on treatment of branchial fistula or cyst.Methods Twenty patients with branchial fistula or cyst admitted to the People′s Hospital of Guangxi Zhuang Autonomous Region from March 2018 to April 2021 were selected.The patients were divided into the observation group(electric coagulation closure or fistulectomy assisted by electronic gastroscope)and the control group(traditional cervical lymph node dissection)according to different treatment methods,with 10 cases in each group.The operation time,intraoperative blood loss,hospital stay,as well as postoperative complications and recurrence were compared between the two groups.Results The operation time of the observation group was shorter than that of the control group[65.50(36.75,113.25)min vs 150.00(75.00,231.00)min],and the intraoperative blood loss in the observation group was less than that in the control group[5.00(1.75,10.25)ml vs 23.50(20.00,57.50)ml],and the differences were statistically significant between the two groups(P<0.05).There was 1 case of postoperative recurrence in the control group and there was 1 case of postoperative infection in the observation group.Conclusion Electric coagulation closure or fistulectomy assisted by electronic gastroscope can shorten the operation time and reduce the amount of intraoperative blood loss in the treatment of branchial fistula or cyst,and the treatment is effective.