122例非甲状腺来源的颈部囊性肿块临床分析  

Clinical analysis of 122 cases of non-thyroid related neck cyst

作　　者：钱敏飞[1] 王家东[1] 

机构地区：[1]上海交通大学医学院附属仁济医院耳鼻咽喉-头颈外科,上海200001

出　　处：《临床耳鼻咽喉头颈外科杂志》2007年第9期403-405,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨各种非甲状腺来源的颈部囊性肿块的特点,提高颈部肿块术前诊断的准确性,降低手术的盲目性和风险。方法:回顾性分析1999～2005年收治的非甲状腺来源的颈部囊性肿块122例。结果:资料表明,非甲状腺来源的颈部囊性肿块以先天性来源肿块最为多见,共84例,其中最常见的是甲状舌管囊肿;其次是感染性肿块30例,其中颌下腺囊肿25例;肿瘤来源最少见,共8例。主要根据肿块发生时间的长短,肿块的位置,颈部囊性肿块特异性表现和辅助检查来进行术前诊断。发现肿块的位置没有特殊性。根据某些肿块特征性的体征和穿刺检查,可明确诊断。结论:对非甲状腺来源的颈部囊性肿块,术前尽可能的明确诊断能有效地减少手术盲目性,降低手术并发症。Objective： To investigate the characteristic of non-thyroid-related neck cyst for the purpose of improving the accuracy of diagnosis of neck cyst preoperatively. Method.. Retrospectively analyzed 122 cases of non- thyroid related neck cyst during 1999 ～2005 in our department. Result： Congenital mass （n=84） constitute the main part of total cases （n=122）, among which thyroglossal cyst is the most common reason. Infective cyst is the second cause of neck cyst （n=30）, among which the number of submaxillary gland cyst is 25. Tumor is the most rare cause of neck cyst （n=8）. Timing and position of cysts, auxiliary examination of physical sign and puncture cytological analysis lead to more accurate diagnosis preoperatively. Conclusion： Accurate diagnosis of neck cyst reduce the blindness and minimize the risk preoperatively.

关 键 词：头颈部肿瘤 甲状舌管囊肿 颌下腺囊肿 

分 类 号：R322.5[医药卫生—人体解剖和组织胚胎学]