【摘要】：目的總結(jié)內(nèi)鏡引導(dǎo)下導(dǎo)絲定位治療兒童梨狀窩瘺(CPSF)的臨床價(jià)值。方法回顧31例CPSF患兒,其中14例行內(nèi)鏡引導(dǎo)下導(dǎo)絲定位(導(dǎo)絲定位組),17例行常規(guī)梨狀窩瘺切除術(shù)(常規(guī)組),并對(duì)其病史資料、手術(shù)時(shí)間、術(shù)中出血量、術(shù)后并發(fā)癥及復(fù)發(fā)率等進(jìn)行分析。結(jié)果導(dǎo)絲定位組在手術(shù)時(shí)間、術(shù)中出血量、術(shù)后并發(fā)癥、復(fù)發(fā)率等均明顯優(yōu)于常規(guī)組。結(jié)論內(nèi)鏡引導(dǎo)下導(dǎo)絲定位治療CPSF技術(shù)安全有效,大大降低CPSF手術(shù)時(shí)間、術(shù)中出血量、術(shù)后復(fù)發(fā)率等,可在臨床廣泛開(kāi)展。
[Abstract]:Objective to summarize the clinical value of endoscopic guided wire localization in the treatment of piriform fossa fistula in children with (CPSF). Methods 31 cases of CPSF were reviewed, including 14 cases of endoscopic guided guide wire localization (guide wire localization group) and 17 cases of conventional piriform fossa fistula resection (routine group). The medical history, operation time and intraoperative blood loss were analyzed. Postoperative complications and recurrence rate were analyzed. Results the operation time, intraoperative blood loss, postoperative complications and recurrence rate in the guide wire localization group were significantly better than those in the routine group. Conclusion Endoscopic guided wire localization is safe and effective in the treatment of CPSF, which can greatly reduce the operation time, intraoperative bleeding volume and postoperative recurrence rate of CPSF, and can be widely used in clinic.
【作者單位】： 河南省人民醫(yī)院小兒外科;
【分類(lèi)號(hào)】：R726.5

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