摘要
目的探讨舌根部甲状舌管囊肿的影像学检查、临床表现、手术方式、并发症及术后疗效。方法回顾性分析2015年1月至2018年10月经郑州大学第一附属医院收治,通过手术确认的30例舌根部甲状舌管囊肿患者的临床资料。结果30例舌根部甲状舌管囊肿患者首次手术均为支撑喉镜下低温等离子切除术,共随访7.5~45.0(25.4)个月,25例未复发,2例失访,2例复发1次,1例复发2次,复发率为10.7%(3/28)。2例复发1次的患者,末次手术均行支撑喉镜下低温等离子切除术,1例复发2次患者末次手术行Sistrunk手术;3例复发患者均术后随访1年未见复发。28例患者术后均无咽瘘、声嘶。结论舌根部甲状舌管囊肿,尤其是首发患者且年龄较小,可首选支撑喉镜下低温等离子切除术,复发的舌根部甲状舌管囊肿可再次行支撑喉镜下低温等离子切除术,多次复发患者可考虑Sistrunk手术。
Objective To explore and analyse the imaging examinations,clinical presentation,operative methods complication and the surgical outcomes of lingual thyroglossal duct cyst(LTGDC).Methods The clinical data of 30 patients with LTGDC were analyzed retrospectively from January 2015 to October 2018 at the First Affiliated Hospital of Zhengzhou University.Results 30 cases were treated with endoscopic coblation cauterization firstly.Follow-up for 7.5-45.0(25.4)months showed that 25 cases had no recurrence,2 cases had no connection,2 cases had recurrence once,and 1 cases had recurrence twice,the recurrence rate was 10.7%(3/28).Two patients recurred once,and the last operation was performed with endoscopic coblation cauterization,and no recurrence was found in the follow-up of 1 year;one patient recurred twice underwent the last operation with Sistrunk operation,and no recurrence was found in the follow-up of 1 year.There was no pharyngeal fistula and hoarseness in 28 patients.Conclusions For LTGDC,especially,those of the first-episode children,endoscopic coblation cauterization is the first choice.Recurrent LTGDC can be treated by endoscopic coblation cauterization,so that patients with multiple recurrences can be considered the Sistrunk operation.
作者
窦倩雯
田秀芬
Dou Qianwen;Tian Xiufen(Department of Otorhinolaryngology Head and Neck Surgery,First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2020年第7期683-686,共4页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
