甲状舌管囊肿术后复发因素分析  

The Postoperative Recurrence Factors of Thyroglossal Duct Cysts

作　　者：王红鲜[1] 陶霖玉[1] 齐柯[1] 张好云[1] 冯铎[1] 孔恒[1] 林秋生[1] 陈天文[1] 

机构地区：[1]广东医学院附属南山医院甲乳外科,深圳518052

出　　处：《中国现代手术学杂志》2011年第2期111-113,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨甲状舌管囊肿的术后复发原因及预防措施。方法回顾性分析26例甲状舌管囊肿患者的临床资料。结果所有手术标本均经病理学确诊。术后随访1年复发率为11.5%(3/26),2例因未切除舌骨中段及舌骨上盲管导致舌管残留,1例为遗漏舌管分支,均再次手术治愈。结论术前充分认知甲状舌管囊肿的解剖学特点,明确诊断,选择合适的手术时机,操作轻柔,彻底切除舌管及其分支可减少术后复发。Objective To explore the postoperative recurrence factors and the prevention of thyroglossal duct cyst（TGDC）.Method Clinical data and surgical effects of 26 patients with TGDC was analyzed retrospectively.Results All surgical specimens were confirmed by pathology.Recurrence rate was 11.5%（3/26） during the 1-year follow-up.The reasons of recurrences were thyroglossal tract remnant（TTR） for 2 cases owing to remaining the middle of hyoid bone and caecus upper hyoid bone,and thyroglossal branch remnant（TBR） for 1 case.Conclusions To reduce recurrence,it is essential of the full knowledge of the anatomy characteristics of TGDC,clear diagnosis before operation,appropriate timing of surgery,gently operation and thorough removal of the thyroglossal tract and its branches.

关 键 词：甲状舌管囊肿 复发 

分 类 号：R653[医药卫生—外科学]