内镜下等离子射频消融术治疗儿童先天性梨状窝瘘232例

目的 探讨儿童先天性梨状窝瘘的诊断、手术适应证及内镜下低温消融术的疗效。方法 回顾分析郑州大学第一附属医院内镜下低温消融术治疗的232例儿童先天性梨状窝瘘的临床资料。结果 217例(93.5%)为左侧梨状窝瘘，14例(6.0%)为右侧梨状窝瘘，1例(0.4%)双侧梨状窝瘘。男女比约1.1∶1.0。232例均行内镜下梨状窝瘘口低温消融术。术后复发17例(7.3%)、声音嘶哑12例(5.2%),均无呛咳、食管损伤或咽瘘。结论 内镜下梨状窝瘘口低温消融术治疗先天性梨状窝瘘具有微创、并发症较少、复发率低等优点，是治疗先天性梨状窝瘘的首选手术方案之一。

232 children with congenital pyriform sinus fistula treated by endoscopic radiofrequency ablation

Objective To evaluate the diagnosis, indications, and surgical outcomes of congenital pyriform sinus fistula(CPSF)treated by endoscopic radiofrequency ablation. Methods The data of 232 children with CPSF treated at the First Affiliated Hospital of Zhengzhou University were analyzed retrospectively. Results The lesions were predominantly on the left side(217/232, 93.5%), 14 cases were on the right side, and only 1 case was bilateral. The ratio of males to females was about 1.1∶0. Of all 232 cases who underwent endoscopic radiofrequency ablation, 17 cases(7.3%)had recurrence. Postoperative hoarseness occurred in 12 cases, and disappeared within 0.5-2.0 months and there was no irritating cough, esophageal injury, or pharyngeal fistula post operation. Conclusion Endoscopic radiofrequency ablation is one of the best choices for the treatment of CPSF, with advantages such as minimal invasiveness, few complications, and a low recurrence rate.