患者,女,20岁,因颈部双侧溢液20年,于1994年3月19日收住院。体检:颈部双侧相当胸锁乳突肌前缘中点各有一小瘘口,约针尖大小,挤压有白色分泌物溢出,并可触及条索样物向颈深部延伸,随吞咽上下活动。咽部检查见双侧扁桃体Ⅰ度大,无充血,挤压无分泌物溢出,无压痛,双耳道检查无异常,心肺和腹部检查无异常。辅助检查:BP15/10kPa,血常规、心电图检查无异常。初步诊断为双侧第二鳃裂瘘管。1994年3月24日行双侧第二鳃裂瘘管摘除术。先做左侧,术前在外瘘口注入2%美蓝约2ml,在局麻下沿外瘘口作一梭形切口,紧贴已染色的瘘管向上向深部分离,至右下颌骨下缘平行于第一切口作一 The patient, female, 20 years old, was admitted to hospital on March 19, 1994 because of bilateral bilateral discharge for 20 years. Physical examination: the neck on both sides of the anterior midline of the sternocleidomastoid fistula have a small fistula, about the size of the tip, the extrusion of white secretions overflow, and can reach the cord-like sample extends to the deep part of the neck, swallowing up and down activities . Pharyngeal examination showed bilateral tonsil Ⅰ degree, no congestion, squeeze no secretions overflow, no tenderness, no abnormal auditory meatus, no abnormalities in cardiopulmonary and abdominal examination. Auxiliary examination: BP15 / 10kPa, blood, ECG no abnormalities. The initial diagnosis of bilateral second branchial fistula. March 24, 1994 underwent bilateral second branchial fistula removal surgery. First left to do, preoperative fistula injection of 2% methylene blue about 2ml, under local anesthesia along the fistula fusiform incision, close to the stained fistula up to the deep separation to the lower edge of the right mandibular parallel Made in the first incision