摘要
目的分析舌甲状舌管囊肿(lingual thyroglossal duct cysts,LTGDC)的临床特征,探讨行扩大Sistrunk手术切除复发LTGDC的临床疗效。方法回顾性分析2007年6月~2018年1月在我科收治的15例LTDGC临床资料,男11例,女4例,年龄18~55岁。12例患者既往有1~3次不等的手术切除史,手术后2周~10个月间复发。手术均经颈前入路进入咽腔,采用扩大的Sistrunk术式切除囊肿。结果术后咽瘘1例,经换药保守治疗愈合。1例行气管切开,出院前拔管。患者术后均无吞咽不适及言语异常。所有患者均随访2年以上无复发。结论LTDGC临床误诊率高,经内镜下切除容易复发。采用颈前入路扩大Sistrunk术式切除LTGDC为首选术式,临床效果可靠。
OBJECTIVE To evaluate the clinical efficacy of extended Sistrunk operation in the treatment of lingual thyroglossal duct cysts.METHODS Fifteen patients of lingual thyroglossal duct cysts who underwent resection by extended Sistrunk operation were included in this study,of which,there were 11 males and 4 females with the age ranged from 18 to 55 years.Twelve patients had received cystectomy or marsupialization under endoscopy between 1 to 3 times with cyst recurrence from 2 weeks to 10 months after each operation.All patients underwent electronic laryngoscopy,ultrasound B examination,CT and/or MRI scans to evaluate the relationship between cysts and hyoid bone and tongue base.All the operations entered the pharyngeal cavity through the anterior cervical approach,and the extended Sistrunk operation was used to remove the cyst.RESULTSPostoperative pharyngeal fistula occurred in one case and cured with conservative treatment.One patient underwent tracheotomy and was decannulated before discharge.None of the patients had swallowing and speech problems.All the patients were followed up for more than 2 years without any signs of recurrence.CONCLUSION Lingual thyroglossal duct cysts are rare and easily misdiagnosed.It was difficult to resected entirely transorally.For those adult patients with cysts recurrence,the extended Sistrunk operation through anterior cervical approach could be a reliable method.
作者
韩英
洒娜
田家军
吕正华
徐伟
HAN Ying;SA Na;TIAN Jiajun;LYU Zhenghua;XU Wei(Department of Head and Neck Surgery,Shandong Provincial ENT Hospital,Shandong University,Jinan,Shandong,250022,China)
出处
《中国耳鼻咽喉头颈外科》
CSCD
2020年第7期404-406,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
关键词
甲状舌管囊肿
外科手术
复发
舌甲状舌管囊肿
Thyroglossal Cyst
Surgical Procedures,Operative
Recurrence
lingual thyroglossal duct cyst
