摘要
目的探讨甲状舌管囊肿（瘘）临床诊治方法及预防和减少术后复发的措施。方法对我科收治的56例甲状舌管囊肿（瘘）患者的临床资料、手术治疗及术后疗效进行分析。结果本组病例均在全麻下行手术切除,术后切口一期愈合,无手术并发症,术后病理均证实为甲状舌管囊肿（瘘）,未发现恶变;术后随访6-24个月,有1例复发,术后复发率为1.78%。结论手术是甲状舌管囊肿（瘘）最主要、最有效的治疗方法,手术不彻底性是导致术后复发最根本的原因;掌握甲状舌管囊肿（瘘）发病机理,避免急性炎症期手术,可有效减少术后复发,而选取适宜的手术方式,彻底切除瘘管,则是预防和降低术后复发的关键。
Objective To explore therapies for clinical diagnosis,treatment of thyroglossal duct cyst（fistula）,and to investigate measures for preventing and reducing recurrence.Methods The clinical data,surgical and postoperative treatment,and therapeutic efficacy of 56 patients with thyroglossal duct cyst（fistula） cases were analyzed.Results The surgeries in all the patients were conducted under general anesthesia,and incisions healed without complications.Thyroglossal duct cyst（fistula） was confirmed in all the patients by postoperative pathology without malignancy.The patients were followed up for 6~24 months,with the recurrence rate of 1.78%.Conclusion Surgery is the most effective treatment for thyroglossal duct cyst（fistula）.Incomplete surgery is the most fundamental reason for recurrence.The key to prevent and reduce recurrence is to master the pathogenesis of thyroglossal duct cyst（fistula）,avoid surgery in acute inflammation,select appropriate surgical approach,and resect fistula completely.
出处
《海南医学》
CAS
2012年第4期58-60,共3页
Hainan Medical Journal
关键词
甲状舌管囊肿
外科手术
复发
预防
Thyroglossal duct cyst
Surgery
Recurrence
Prevention
