1.Xuzhou Children'2.'3.s Hospital Affiliated to Xuzhou Medical University
目的 探讨新生儿囊肿型梨状窝瘘的手术治疗方法。方法 收集2020年5月至2023年5月徐州市儿童医院耳鼻喉科及外科重症监护室收治的8例囊肿型梨状窝瘘的新生儿病例,患儿平均年龄16天,采用囊内减压-颈外切除的手术方法,暴露囊肿后,先用50ml注射器抽取部分囊内液体,使囊肿体积缩小,便于囊壁分离,完整切除病灶。观察患儿术中、术后并发症及复发情况。结果 8例患儿均手术顺利,术后1例患儿出现咽瘘情况,1例患儿术后即出现声音嘶哑,余患儿术后恢复良好,无复发病例。讨论? 囊内减压-颈外切除是根治新生儿囊肿型梨状窝瘘的改良术式,早期治疗可及时缓解患儿呼吸困难情况。
Objective To investigate the surgical treatment of neonatal cystic piriform fossa fistula. Methods A total of 8 neonatal cases of cystic piriform fossa fistula admitted to the Otolaryngology Department and surgical intensive care Unit of Xuzhou Children"s Hospital from May 2020 to May 2023 were collected. The average age of the children was 16 days. Intracapsular decompression and external cervical excision were performed. After the cyst was exposed, part of the cyst fluid was extracted with a 50ml syringe to reduce the volume of the cyst, facilitate the separation of the cyst wall, and remove the lesion completely. Intraoperative and postoperative complications and recurrence were observed. Results All the 8 children were operated smoothly, 1 child had pharyngeal fistula after operation, 1 child had hoarseness, the rest of the children recovered well after operation, and there was no recurrence cases. Discussion Intracapsular decompression and external cervical resection is an improved surgical method for the radical treatment of neonatal cystic piriform fossa fistula. Early treatment can alleviate dyspnea in time.