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以左侧颈部感染为表现的右侧梨状窝瘘1例 被引量:1

Right pyriform sinus fistula with infection of left neck:a case report
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摘要 1病例报告患儿,女,12岁,2018年3月出现左颈侧红肿,予以抗炎后红肿消退,考虑左侧梨状窝瘘继发感染收入院。颈部超声提示甲状腺左叶背侧不均质回声包块,考虑感染灶,与甲状腺左叶下极分界欠清。颈部核磁共振提示双侧甲状腺后缘见小片状长T1长T2信号,左侧1.3 cm×0.6 cm,右侧0.9 cm×0.5 cm(图1)。全身麻醉支撑喉镜下探查,左侧梨状窝未见瘘口,右侧梨状窝见瘘口,予以CO_(2)激光烧灼术(图2)。 In this article,a case of right pyriform fossa fistula,with left cervical infection as the main manifestation is reported.Ultrasound showed that there was an inhomogeneous echo mass in the dorsal side of the left lobe of thyroid.MRI showed that there were infectious signal behind the bilateral thyroid gland,but mainly on the left side.Fistula was found in the right pyriform fossa under suspension laryngoscope,and CO_(2)laser cauterization was performed to cauterize this fistula.
作者 李艳珍 邰隽 王生才 张雪溪 张杰 倪鑫 LI Yanzhen;TAI Jun;WANG Shengcai
出处 《临床耳鼻咽喉头颈外科杂志》 CSCD 北大核心 2021年第6期554-555,共2页 Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金 北京市医院管理中心“登峰”人才培养计划(No:DFL20191201)。
关键词 先天畸形 梨状窝瘘 外科手术 congenital abnormalities pyriform sinus fistula surgical procedures operative
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