| 鳃裂畸形40例 |
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| 引用本文： | 吴海燕,李五一,陈永宁,周建锋,刘建汉.鳃裂畸形40例[J].临床耳鼻咽喉头颈外科杂志,2006,20(9):399-401. |
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| 作者姓名： | 吴海燕 李五一 陈永宁 周建锋 刘建汉 |
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| 作者单位： | 1. 中国医学科学院,中国协和医科大学,北京协和医院耳鼻咽喉科,北京,100730
2. 中国医学科学院,中国协和医科大学,北京协和医院口腔科 |
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| 摘 要： | 目的：分析鳃裂囊肿及瘘管的临床特点，探讨其诊断和治疗方法。方法：对40例鳃裂囊肿及瘘管患者的临床资料进行回顾性分析，并结合文献对诊断、鉴别诊断、治疗经验及教训进行探讨；全部患者均经手术切除囊肿及瘘管。结果：随诊1～5年，2例失访，36例无复发；2例复发，再次手术，分别随访42和14个月，未复发。结论：颈侧部沿胸锁乳突肌前缘自耳周腮腺区至锁骨上孤立的、无痛囊性包块，或有反复感染成颈部脓肿、破溃、多次切开引流者均应考虑鳃裂囊肿及瘘管。颈部B超、增强CT、MRI、碘油造影、钡餐检查、直接喉镜检查均可辅助诊断，病理检查可确诊。手术切除仍为治疗鳃裂畸形的主要方法。
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| 关 键 词： | 鳃裂囊肿 诊断显像 外科手术 鳃裂瘘管 |
| 文章编号： | 1001-1781（2006）09-0399-03 |
| 收稿时间： | 2005-10-24 |
| 修稿时间： | 2005年10月24 |
Branchial cleft anomalies: a review of 40 cases |
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| WU Haiyan,LI Wuyi,CHEN Yongning,ZHOU Jianfeng,LIU Jianhan.Branchial cleft anomalies: a review of 40 cases[J].Journal of Clinical Otorhinolaryngology,2006,20(9):399-401. |
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| Authors: | WU Haiyan LI Wuyi CHEN Yongning ZHOU Jianfeng LIU Jianhan |
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| Institution: | Department of Otolaryngology, Peking Union Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing. |
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| Abstract: | Objective:To explore the diagnosis and treatment for the congenital branchial cleft cysts and sinuses.Method:We analyzed the clinical material of 40 patients with branchial cleft cysts and sinuses, and explored the dignosis and therapeutic experience. Twelve cases were first branchial cleft cysts and sinuses, 23 cases were second branchial cleft cysts and sinuses and 5 cases were third branchial cleft cysts and sinuses.Result:All patients were cured by surgical resection. Followed up from 1 to 5 years, 36 cases were cured, 2 cases were lost touch with, 2 cases recurred and were well treated again.Consulsion:Surgical resection was the main method to treat the congenital branchial cleft cysts. |
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| Keywords: | Branchial cleft anomalies Diagnostic imaging Surgical procedures operative |
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