本文關鍵詞： 先天性第一鰓裂畸形 鼓膜蹼 誤診　出處：《臨床耳鼻咽喉頭頸外科雜志》2016年17期 　論文類型：期刊論文

【摘要】：目的:總結先天性第一鰓裂畸形(CFBCA)的臨床特點。方法:回顧性分析2005-05-2015-04期間收治的臨床資料完整的56例CFBCA病例。結果:主要臨床表現(xiàn)為無痛性腫物(26.8%)、反復腫痛流膿(71.4%)、耳科癥狀(耳道溢液、聽力下降等,28.6%)。37例有感染癥狀者行膿液或分泌物培養(yǎng),其中11例陽性,最常見的細菌為銅綠假單胞菌和金黃色葡萄球菌。耳內鏡檢查可發(fā)現(xiàn)耳道狹窄、耳道膽脂瘤樣物堆積、耳道底壁骨軟骨交接處內瘺口和鼓膜蹼;CT(MRI)典型表現(xiàn):Pochet's三角區(qū)內與耳道關系密切,增強掃描囊壁或管壁可強化的囊狀、分葉狀或管狀異常影,部分病灶與皮膚相通。WorkⅠ型多為囊腫型,常為無感染癥狀的成年患者(P0.01);WorkⅡ型多為竇道(瘺管)型,可伴有鼓膜蹼,常為有感染癥狀的未成年患者(P0.01)。結論:CFBCA較罕見,多見于未成年患者,左側好發(fā),常表現(xiàn)為Pochet's三角區(qū)內的無痛性腫物、反復腫脹流膿或耳道溢液等。耳內鏡、CT和MRI等檢查可協(xié)助確診,臨床需根據(jù)不同表現(xiàn)與相關疾病進行鑒別。
[Abstract]:Objective: to summarize the clinical features of congenital first branchial cleft malformation (CFB CA). Methods: 56 cases of CFBCA with complete clinical data were analyzed retrospectively from May 2005 to April 2015.Results: the main clinical manifestations were painless tumor, 26.8D, recurrent swelling and pain, and purulent discharge. The symptoms of otology (ear canal discharge, ear canal discharge, Among them, 11 cases were positive. The most common bacteria were Pseudomonas aeruginosa and Staphylococcus aureus. The typical manifestation of CTMRI in the osseous junction of the bottom wall of the auditory meatus is: 1 Pochets triangle is closely related to the auditory canal, and the cystic, lobular or tubular abnormal shadow which can be enhanced by scanning the cystic wall or the wall of the tube can be enhanced. Some lesions are related to the skin. Work I type is mostly cyst type, and P0.01Work 鈪，

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