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诊断与处理
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  diagnosis and management
    Diagnosis and management of piriform sinus fistulae in children
    儿童梨状窝瘘的诊断与处理
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    Diagnosis and management of 49 cases of hemangiomas in infants and children
    婴幼儿血管瘤49例的诊断与处理
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    Diagnosis and management of hemangiomas of 49 Cases in infants and children
    49例婴幼儿血管瘤的诊断与处理
  “诊断与处理”译为未确定词的双语例句
    In 12 patients with piriform sinus fistula,aged from 1 5 to 10 years all but one patient presented themslves with inflammatory swelling in the region of the left lobe of the thyroid gland.
    作者报告了近年收治的12例儿童梨状窝瘘的诊断与处理经验。 患者年龄为1.5~10岁。
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  diagnosis and management
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In 12 patients with piriform sinus fistula,aged from 1 5 to 10 years all but one patient presented themslves with inflammatory swelling in the region of the left lobe of the thyroid gland. During acute infection, the involvement of the left thyroid lobe was verified by ultrasonography and scintigraphy. Barium swallow examination was the diagnostic finding that all the 11 patients had a left sided fistula.One patient presented with a painless cyst in the left thyroid lobe. Six patients operated on 4 underwent...

In 12 patients with piriform sinus fistula,aged from 1 5 to 10 years all but one patient presented themslves with inflammatory swelling in the region of the left lobe of the thyroid gland. During acute infection, the involvement of the left thyroid lobe was verified by ultrasonography and scintigraphy. Barium swallow examination was the diagnostic finding that all the 11 patients had a left sided fistula.One patient presented with a painless cyst in the left thyroid lobe. Six patients operated on 4 underwent fistulectomy. In patient the fistula was not found. In the patient who had a cyst in the thyroid lobe, fistulectomy and cystectomy were done. All these patients did well postoperatively without recurrence.Six other patients were followed up without operation with in 1 6 years. Five patients remained asymptomatic. One patient had 3 recurrences during a 2 years follow up period.Piriform sinus fistula is the most common underlying abnormality in the patients with acute suppurative thyroiditis.A better understanding about this rare branchial anomaly is of clinical importance.

作者报告了近年收治的12例儿童梨状窝瘘的诊断与处理经验。患者年龄为1.5~10岁。11例表现为左侧颈部炎性肿块,发作期颈部超声检查及核素显像示炎症累及甲状腺左叶,炎症消退后作食管吞钡造影,均证实存在左侧梨状窝瘘;1例为左侧甲状腺无痛性囊性肿块。6例行手术治疗,其中4例予瘘管高位结扎切除;1例术中未能找到瘘管,术后吞钡复查,瘘管消失;1例甲状腺左叶无痛性囊性肿者,术中证实梨状窝瘘伴甲状腺内囊肿形成,行囊肿切除及瘘管高位结扎术。患者术后均恢复良好,随访1~5年无复发。另6例未手术者,5例1~6年无症状,1例2年间有3次发作。作者认为,充分认识梨状窝瘘,对于化脓性甲状腺炎或原因不明的颈部感染的处理具有重要意义。

 
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