Clinical efficacy of low-temperature radiofrequency ablaion assisted by endoscopy for the treatment of congenital pyriform sinus fistula in infants
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摘要: 目的 探讨婴幼儿先天性梨状窝瘘(CPSF)支撑喉镜下内镜辅助低温等离子射频消融术的临床疗效。方法 15例CPSF患儿行支撑喉镜下内镜辅助低温等离子射频消融术，术后予阶段性密切随访，均行颈部彩超及电子喉镜检查，并分析疗效。结果 15例患儿均顺利完成手术，术后无咽瘘、吞咽困难、内瘘口周围及瘘管远端感染。所有患儿术后随访3~36个月，无一例复发。结论 支撑喉镜下内镜辅助低温等离子射频消融术，具有术中出血少、损伤小、视野清晰等优点，安全有效，值得临床推广。
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关键词:
- 先天性梨状窝瘘 /
- 婴幼儿 /
- 低温等离子射频消融术 /
- 内镜术
Abstract: Objective To discuss the clinical efficacy of low-temperature radiofrequency ablaion assisted by endoscopy for the treatment of congenital pyriform sinus fistula in infants.Method Clinical data of 15 patients with CPSF received the low-temperature radiofrequency ablaion assisted by endoscopy under laryngoscope were reviewed. After the operation, patients were followed up closely at different stages. All patients underwent neck color doppler ultrasound and electronic laryngoscopy, and the results were analyzed.Result The operation of 15 children was successfully completed without pharyngeal fistula, dysphagia, perifistula and distal fistula infection. Followup survey ranged from 3 months to 3 years and no one recurred.Conclusion Low-temperature radiofrequency ablaion assisted by endoscopy is a promising method for the CPSF with less trauma, less haemorrhage and good vision. It is safe and effective for the treatment of CPSF in infants and children, and is worthy of clinical promotion. -
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