摘 要：
目的：探讨传统手术方式与胃镜辅助下电凝钩烧灼梨状窝内口结合瘘管切除术的疗效差异。方法：查询2017年01月01日-2024年12月31日于蚌埠市第一人民医院就诊的先天性梨状窝瘘患儿，共计27例，其中对照组17例，实验组10例，对相关数据进行回顾性分析。结果：对照组中，有5例复发，有10例未复发，有13例手术时间超1小时，有4例手术时间不超过1小时，实验组中，有1例复发，有9例未复发，有1例手术时间超1小时，有9例手术时间不超过1小时。结论：胃镜辅助下电凝钩烧灼梨状窝内口结合瘘管切除术较传统开放手术具有复发率低、手术时间短、安全性高、家属满意度高等优势，是一种有推广前景的手术方式。
关键词：梨状窝瘘；胃镜辅助下电凝钩烧灼梨状窝内口结合瘘管切除术；传统开放手术
Abstract:
Objective: To investigate the difference in therapeutic efficacy between traditional surgical methods and the combination of endoscopic-assisted electrocoagulation hook cauterization of the internal orifice of the pyriform fossa with fistulectomy.Methods: A retrospective analysis was conducted on a total of 27 pediatric cases of congenital pyriform sinus fistula treated at Bengbu No.1 People's Hospital between January 1, 2017, and December 31, 2024. These cases were divided into a control group of 17 patients and an experimental group of 10 patients. Results: In the control group, 5 patients experienced recurrence, while 10 did not. Additionally, 13 patients had operations lasting over an hour, and 4 had operations lasting under an hour. In the experimental group, there was 1 recurrence among the patients, with 9 remaining recurrence-free. Furthermore, 1 patient underwent an operation lasting more than an hour, whereas 9 had operations lasting one hour or less.Conclusion: Compared to traditional open surgery, gastroscopy-assisted electrocoagulation hook cauterization of the internal opening of the pyriform sinus combined with fistulectomy offers advantages such as lower recurrence rate, shorter operation time, higher safety, and higher satisfaction among family members. It is a surgical method with promising prospects for promotion.
Keywords: Piriform fossa fistula; Gastroscopy-assisted electrocoagulation hook cauterization of the internal orifice of the piriform fossa combined fistulectomy; Traditional open surgery
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