| 新生儿梨状窝瘘3例并文献复习 |
| |
| 引用本文： | 杨红,滕以书,李兰,潘宏光,梁振江,韩赛红. 新生儿梨状窝瘘3例并文献复习[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 40-44. DOI: 10.6040/j.issn.1673-3770.0.2020.385 |
| |
| 作者姓名： | 杨红 滕以书 李兰 潘宏光 梁振江 韩赛红 |
| |
| 作者单位： | 深圳市儿童医院 耳鼻咽喉头颈外科,广东 深圳518035 |
| |
| 摘 要： | 目的 总结新生儿梨状窝瘘的临床特点及诊治经验.方法 对2018年1月至2020年9月诊治的3例新生儿梨状窝瘘的临床表现、辅助检查、治疗方法及预后进行回顾性分析.结果 3例梨状窝瘘患儿中男孩2例,女孩1例,其中1例男性患儿出生后10 d即被发现颈部肿物而就诊,余两例患儿产前检查被发现;3例梨状窝瘘均在左侧;3例病例颈部B...
|
| 关 键 词： | 梨状窝瘘 新生儿 颈部肿物 气体影 |
Pyriform sinus fistula in neonates: a clinical report of 3 cases and literature review |
| |
| YANG Hong,TENG Yishu,LI Lan,PAN Hongguang,LIANG Zhenjiang,HAN Saihong. Pyriform sinus fistula in neonates: a clinical report of 3 cases and literature review[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(4): 40-44. DOI: 10.6040/j.issn.1673-3770.0.2020.385 |
| |
| Authors: | YANG Hong TENG Yishu LI Lan PAN Hongguang LIANG Zhenjiang HAN Saihong |
| |
| Affiliation: | Department of Otorhinolaryngology & Head and Neck Surgery, Shenzhen Children's Hospital, Shenzhen 518035, Guangdong, China |
| |
| Abstract: | Objective To summarize the clinical characteristics, diagnosis and treatment of pyriform sinus fistula in neonates. Methods The clinical manifestation, auxiliary examination, treatment and prognosis of 3 cases of pyriform sinus fistula in our department were analyzed retrospectively between January 2018 and June 2020. Results 3 cases of pyriform sinus fistula were reported, there were 2 boys and 1 girl. One male child was found to have neck tumor 10 days after birth, and the other two cases were found in prenatal examination; 3 cases of pyriform sinus fistula were all on the left side; 3 cases of neck B-ultrasound showed cystic mass in the neck, with thick wall, punctate gas echo in the cavity, and enhanced CT showed gas-liquid level in the cavity. All the 3 cases were treated by operation. Two of them were founded the fistula after removing the tumor and ligated it smoothly. The internal fistula of pyriform sinus was not treated specially. The other one was cut and drained and then cauterized by laser under endoscope. The patients were followed up for 5 months to 2 years after surgery. No recurrence or repeated infection was found. Conclusion The neonatal pyriform sinus fistula usually starts with painless neck mass or is founded in prenatal examination. B-ultrasound and CT examination of the neck showed that the masses were often seen Gas shadow, progressive enlargement of tumor after birth, At this time, we need to highly suspect the pyriform sinus fistula. Surgical treatment is the fundamental method to eliminate the pyriform sinus fistula. No recurrence was found in the laser cauterization of the internal fistula and high ligation of the fistula after removal of the neck mass. |
| |
| Keywords: | Pyriform sinus fistula Newborns Neck mass Gas shadow |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
| 点击此处可从《山东大学耳鼻喉眼学报》浏览原始摘要信息 |
|
点击此处可从《山东大学耳鼻喉眼学报》下载全文 |
|
