摘要
目的提出儿童甲状舌管囊肿分型以及据此选择性保留舌骨的手术方式。方法在2015年1月~2019年12月46例儿童甲状舌管囊肿手术中,根据瘘管与舌骨的关系分为Ⅰ型(瘘管与舌骨无明显连接)、Ⅱ型(瘘管与舌骨紧密连接但可完整分离)和Ⅲ型(瘘管穿过舌骨)。对Ⅰ型1例(2.2%)和Ⅱ型26例(56.5%)行保留舌骨的改良Sistrunk术,对Ⅲ型19例(41.3%)行切除舌骨的传统Sistrunk术。结果行改良Sistrunk术27例,传统Sistrunk术19例,2组手术时间分别为(60.4±6.5)、(60.5±6.9)min,术中出血量分别为(21.5±7.1)ml、(25.5±6.9)ml,均无并发症发生。2组随访时间分别为(19.4±16.0)、(22.4±17.4)月,复发率分别为3.7%(1/27)、5.3%(1/19)。结论在仔细观察甲状舌管囊肿瘘管走行的基础上,对瘘管未穿舌骨的病例行保留舌骨的改良甲状舌管囊肿切除术是可行的,不增加术后复发率。
Objective To investigate the classification of thyroglossal duct cyst(TGDC)in children and the selective hyoid bone preservation in TGDC excision.Methods A total of 46 children undergoing thyroglossal duct cyst surgery from January 2015 to December 2019 were enrolled in this study.According to the relationship of fistula and hyoid bone,the TGDC were divided into 3 types:typeⅠ,the fistula was not connected to the hyoid bone;typeⅡ,the fistula closely connected with hyoid bone but could be completely separated;typeⅢ,the fistula passed through the hyoid bone.Modified Sistrunk surgeries with hyoid bone preservation were performed for typeⅠ(n=1,2.2%)andⅡ(n=26,56.5%),and traditional Sistrunk surgeries with hyoid bone excision were performed for typeⅢ(n=19,41.3%).Results A total of 27 patients underwent modified Sistrunk surgery and 19 patients underwent traditional Sistrunk surgery.The operative time of the two groups was(60.4±6.5)min and(60.5±6.9)min,and the intraoperative blood loss was(21.5±7.1)ml and(25.5±6.9)ml,respectively.No complications were observed.The follow-up time of the two groups was(19.4±16.0)months and(22.4±17.4)months,and the recurrence rate was 3.7%(1/27)and 5.3%(1/19),respectively.Conclusion On the basis of careful observation of the TGDC operation,it is feasible to perform modified Sistrunk surgeries with hyoid bone preserving in cases without the fistula passed through the hyoid bone,without increasing the postoperative recurrence rate.
作者
陆颖霞
谷庆隆
梁洁琼
Lu Yingxia;Gu Qinglong;Liang Jieqiong(Department of Otolaryngology, Head & Neck Surgery, Children’s Hospital Capital Institute of Pediatrics, Beijing 100020, China)
出处
《中国微创外科杂志》
CSCD
北大核心
2020年第11期1012-1015,共4页
Chinese Journal of Minimally Invasive Surgery
基金
北京市医院管理局儿科学科协同发展中心专项经费资助(XTZD20180102)。
关键词
甲状舌管囊肿
舌骨
儿童
Thyroglossal duct cyst
Hyoid bone
Child
