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儿童甲状舌管囊肿98例诊治体会
林 垦1,2
1.(1)昆明市儿童医院,昆明医科大学附属儿童医院耳鼻咽喉头颈外科,云南 昆明 650228;2)昆明医科大学第一附属医院耳鼻咽喉科,云南 昆明 650032)
摘要:
[摘要]目的 探讨儿童甲状舌管囊肿的诊临床特征和手术方式的选择.方法 回顾性分析2012年1月至2015年12月昆明市儿童医院耳鼻咽喉头颈外科收住的98例儿童初发甲状舌管囊肿及40例复发甲状舌管囊肿患儿的临床资料和影像学特点, 初发病例手术方式选择经典的Sistrunk术式,术后复发的患儿行扩大的Sistrunk术式.结果 甲状舌管囊肿CT表现为:单囊病变和多囊病变,单囊病变多位于舌骨下方水平、舌骨水平,多囊病变可见位于舌骨上下,与舌骨、甲状腺关系密切;B超表现为低回声和不均一回声,无实质成分,并有后壁回声增强.Sistrunk术式和扩大Sistrunk术式在治疗初发甲状舌骨囊肿及复发病例效果肯定.所有病例随访2 a以上无复发.结论 掌握甲状舌管囊肿的病因和解剖特点,将手术的重点放在处理舌骨和舌底以舌盲孔为中心的部位,切除病变组织后环状结扎是关键.
关键词:  [关键词]甲状舌管囊肿  体层摄影术  超声诊断  外科手术
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Diagnosis and Treatment of 98 Children with Thyroglossal Duct Cyst
LIN Ken1,2
1.(1)Dept. of Otolaryngology,Kunming Children’s Hospital,Kunming Yunnan 650228;2)Dept. of Otolaryngology,The First Affiliated Hospital of Kunming Medical University,Kunming Yunnan 650032,China)
Abstract:
[Abstract]Objective To investigate the clinical characteristics and surgical methods of children with thyroglossal duct cyst (TDC). Methods A retrospective analysis was made on the clinical data and imaging characteristics from 98 cases of children with primary thyroglossal duct cyst and 40 cases of children with recurrent thyroglossal duct cyst during the time 2012 to 2015 in Kunming children's Hospital's Otolaryngology Head and Neck Department. For new-onset cases, the classic Sistrunk operation method was chosen;for postoperative recurrence cases,the enlarged Sistrunk operation method was chosen.Results Thyroglossal duct cyst CT appeared single cystic lesion and polycystic lesions; the single cystic lesion was located under the level of the hyoid bone and on the level of the hyoid bone; polycystic lesions were located in the upper and lower hyoid bone,and highly related to hyoid and thyroid;B ultrasonic results showed low echo or heterogeneous echo,no substance,with posterior echo enhancement. Sistrunk operation and the enlarged Sistrunk operation treatment efficacy was positive for new-onset cases and postoperative recurrence patients. No recurrence was found in 2 years of follow-up. Conclusions The pathogenic and anatomical characteristics of thyroglossal duct cyst should be fully understood. The hyoid bone and the surrounding area of the glossal blind aperture in the base of the tongue are the focal point of surgical operation; ring ligation is the key after resection of the diseased tissue.
Key words:  [Key words]Thyroglossal duct cyst  Tomography  Ultrasonic diagnosis  Surgical operation