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目的 :提高第三鳃裂瘘管的诊断与治疗水平。方法 :总结 2例第三鳃裂瘘管诊断与治疗的全过程。结果 :2例均多次行瘘管摘除术 ,又破溃数次 ,行瘘管碘油造影术后吞服稀钡行食道造影术 ,钡剂自瘘口漏出而确诊 ,在全麻下行瘘管切除术而痊愈 ,2例病理诊断均为鳞状上皮覆盖肉芽组织。结论 :鳃裂瘘管是由鳃沟或咽囊不完全闭合引起 ,稀钡食道造影及术前吞服美蓝的方法准确、简便、经济。彻底摘除瘘管全程是唯一的治疗方法
Objective: To improve the diagnosis and treatment of the third branchial fistula. Methods: Two cases of the third branchial fistula diagnosis and treatment of the whole process. Results: Both of the two cases underwent multiple fistula resections and ruptured several times. After fistula lipiodol angiography swallowed barium esophagography, barium leakage from the fistula was confirmed. Fistula resection was performed under general anesthesia And healed, two cases of pathological diagnosis of squamous epithelium is covered with granulation tissue. Conclusion: The branchial fistula is caused by incomplete gill groove or pharyngeal capsule closure. The method of swallowed methylene blue by preoperative barium-containing esophageal resection is accurate, simple and economical. Complete removal of fistula is the only way of treatment