甲状舌管囊肿并发症的超声表现及其临床意义  

Sonographic features and clinical significance of the complications of the thyroglossal cysts

作　　者：黄慧莲[1] 朱强[1] 赵汉学[1] 周帅[1] 刘诚诚[2] 

机构地区：[1]首都医科大学附属北京同仁医院超声诊断科,北京100730 [2]首都医科大学附属北京胸科医院超声科,北京101149

出　　处：《中国耳鼻咽喉头颈外科》2016年第7期395-398,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨甲状舌管囊肿并发症的超声表现及其临床意义。方法回顾性分析41例41灶甲状舌管囊肿伴有并发症的超声表现,包括病变的位置、大小、内部回声、囊壁厚度、边界、后方回声、血流、瘘等指标,并与同期43例43灶单纯性甲状舌管囊肿超声表现相对照。结果伴发炎症的甲状舌管囊肿(炎症组)的超声表现为囊壁增厚(16/41灶),边界模糊(33/41灶),后方回声增强(37/41灶),周边显示斑点状血流(22/41灶),内部回声以均质低回声(15/41灶)和不均质回声(16/41灶)为主。比较炎症组和单纯组超声表现,囊壁增厚、边界模糊、周边血流3项指标差异有统计学意义。结论超声可为临床提供甲状舌管囊肿伴有并发症的诊断信息,这些信息可帮助临床避免炎症期手术,降低术后病变复发率。超声影像上囊壁增厚、边界模糊和周边血流是甲状舌管囊肿伴有炎症的特征性表现。OBJECTIVE To assess the ultrasonographic features and clinical significance of the complications of the thyroglossal cysts. METHODS We retrospectively reviewed the ultrasonographic findings in 41 cases with complications of the thyroglossal cyst, which was confirmed surgically and pathologically. 43 cases with simple thyroglossal cyst consisted of the control group. The location, size, internal echo, internal septa, wall thickness, posterior acoustic feature, boundary, vascularity, and fistulas of the lesion were analyzed and compared with the control group. RESULTS Most of the inflammatory thyroglossal cyst showed thickening walls, indistinct boundaries, posterior echo enhancement, and peripheral vascularity on ultrasound images. There were significant differences of the thickness of the cyst wall, indistinct boundary, and peripheral vascularity between the two groups. CONCLUSION The characteristic findings of thyroglossal cyst with inflammation are thickened wall, indistinct boundary, and peripheral vascularities. Ultrasonography can be useful tool in determination of the appropriate time of the operation to reduce the recurrence rate.

关 键 词：甲状舌管囊肿 颈 超声检查 并发症 

分 类 号：R445.1[医药卫生—影像医学与核医学] R653[医药卫生—诊断学]