以急性化脓性甲状腺炎为首发症状的先天性梨状窝瘘的临床诊疗

刁文雯; 朱莹莹; 祝小莉; 李五一; 陈兴明

doi:10.13201/j.issn.1001-1781.2018.19.006

以急性化脓性甲状腺炎为首发症状的先天性梨状窝瘘的临床诊疗

- 中国医学科学院北京协和医院耳鼻咽喉科(北京, 100730)

详细信息

通讯作者: 陈兴明, E-mail:13901077778@163.com

中图分类号: R581.4

收稿日期: 2018-08-15

Congenital pyriform fistula with acute suppurative thyroiditis as the initial presentation

- Department of Otorhinolaryngology, Peking Union Medical College Hospital, Peking UnionMedical College, Chinese Academy of Medical Sciences, Beijing, 100730, China

More Information

Corresponding author: CHEN Xingming, E-mail: 13901077778@163.com

Received Date: 15 August 2018

摘要

摘要: 目的: 总结以急性化脓性甲状腺炎(AST)为首发症状的先天性梨状窝瘘(CPSF)的临床特征。方法: 71例诊断为CPSF患者中,有33例是以AST为首发症状的CPSF感染期患者,首先选用广谱抗生素,形成脓肿的患者,及时行脓肿切开,并充分引流,然后根据药敏试验结果选择敏感抗生素治疗,直至感染症状消失。待炎症充分控制后,再行手术彻底切除病灶。术中要积极寻找梨状窝瘘口,可切除部分甲状软骨板,充分暴露与瘘管内口相连之梨状窝黏膜,再切除瘘管,缝合梨状窝黏膜。结果: 随访6~216个月,随访期间均未见复发。结论: 对于AST患者,应考虑是否存在CPSF;若明确诊断为CPSF,需择期行外科手术彻底切除病灶。
- 梨状窝瘘 /
- 先天畸形 /
- 急性化脓性甲状腺炎
Abstract: Objective: To summarize the clinical characteristics of congenital pyriform fistula with acute suppurative thyroiditis as the initial presentation. Method: A total of 71 patients with congenital pyriform sinus fistula were treated, of which 33 cases had acute suppurative thyroiditis as the first symptom. For the patients with congenital pyriform sinus fistula who have acute suppurative thyroiditis as the first symptom, infection should be controlled first. Full drainage should be done when necessary, and the lesion should be completely excised during the stable period.Result: All the patients were followed up for 6 months to 216 months. No recurrence was found during follow-up. Conclusion: For patients with acute suppurative thyroiditis, the possibility of congenital pyriform sinus fistula should be considered. If the diagnosis of congenital pyriform sinus fistula is clear, the lesion should be completely resected by surgery.
- pyriform fistula /
- congenital malformation /
- acute suppurative thyroiditis

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