甲状腺后鳃裂瘘管及囊肿4例并文献复习  

Ultimobranchial fistula and cyst of thyroid:4 cases report and review of literature

作　　者：陈敏[1] 黄沂传[1] 韩敏[1] 于龙刚[1] 李薇[1] 

机构地区：[1]青岛大学附属医院耳鼻咽喉科,山东青岛266003

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第23期1845-1847,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨甲状腺后鳃裂瘘管及囊肿的临床特点和诊治方法。方法:报告4例甲状腺后鳃裂瘘管及囊肿患者资料,结合文献进行回顾性分析。结果:4例患者鳃裂瘘管及囊肿均与甲状腺组织粘连重,解剖标志不清,2例术前喉返神经功能受累,术中均保留喉返神经,术后甲状腺和甲状旁腺功能正常,随访未见复发。结论:甲状腺后鳃裂瘘管及囊肿少见,容易误诊误治,手术完整切除是有效的方法,术中保护喉返神经非常必要。Objective：To investigate the clinical feature,diagnostic and therapeutic methods of ultimobranchial fistula and cyst of thyroid. Method：Four cases of ultimobranchial fistula and cyst of thyroid in our hospital were re- ported and the relevant literatures were reviewed. Result：The branchial fistula and cyst of four cases were adhered to thyroid, with unclear anatomical landmarks, the function of recurrent laryngeal nerve were bad before the opera- tion in two cases. The nerve of four cases were retained, the function of thyriod and parathyroid gland were nor- mal and no recurrence were found. Conclusion：Ultimobranchial fistula and cyst of thyroid is rare and is easier to be misdiagnosed and wrong treated. Surgical excision is effective for it and recurrent laryngeal nerve should be protec- ted when performing the operation.

关 键 词：鳃裂瘘管 鳃裂囊肿 手术 

分 类 号：R730.26[医药卫生—肿瘤]