30例小儿甲状舌管囊肿术后不置引流管的临床分析  

Clinical analysis of surgical removal of thyroglossal duct cyst without postoperative catheter drainage in 30 children

作　　者：肖洋 马静[1] 林垦 高映勤[1] 明澄 娄凡[1] 祖金艳 张铁松[1] 

机构地区：[1]昆明市儿童医院耳鼻咽喉头颈外科,云南昆明650228

出　　处：《中国耳鼻咽喉颅底外科杂志》2018年第1期73-75,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：昆明医科大学研究生创业基金(2017S151)

摘　　要：目的探讨小儿甲状舌管囊肿术后不置引流管的可行性。方法通过回顾性分析昆明市儿童医院2016年1月~2017年1月30例初发甲状舌管囊肿而术后未置引流管的患儿,在年龄、性别及手术方式有可比性的前提下,通过疼痛评分量表的观察并记录术后1、2、3、4、48h的疼痛情况,同时观察并记录术后血肿、皮下积气、切口感染、咽瘘、声音嘶哑、舌肌运动困难、吞咽困难、呼吸困难及发声困难等并发症的发生率以及随访半年的复发情况来判断术后未置引流管的影响。结果患儿在年龄、性别、手术方式等方面有可比性的情况下,初发甲状舌管囊肿而术后未放置引流管的30例患儿均未发现血肿、皮下积气等上述并发症,随访半年均未见复发。结论小儿甲状舌管囊肿术后不置引流并不增加术后并发症发生率及复发率,并且不置引流可以增加患儿舒适度,减轻术后疼痛,减少患儿自主拔出引流管的可能性以及降低术后护理难度。因此,甲状舌管囊肿术后可不常规放置引流管。Objective To explore the feasibility of surgical removal of thyroglossal duct cyst without postoperative catheter drainage in children. Methods Clinical data of 30 children suffering from primary thyroglossal duct cyst surgically removed without postoperative catheter drainage in our department between Jan 2016 and Jan 2017 were analyzed retrospectively. The children were similar in age, sex, and surgical methods,the pain scores of 1 h, 2 h, 3 h, 4 h, and 48 h after the surgery were observed and recorded by the pain score scale. Meanwhile, the incidences of postoperative complications such as hematoma, incision infection, subcutaneous emphysema, pharyngeal fistula, hoarseness, difficulty of tongue muscle movement, dysphagia, and dyspnea were observed and recorded. Six months after surgery, the incidence of recurrence was observed and recorded. Results Of all the 30 children, postoperative hematoma, incision infection, subcutaneous emphysema, and pharyngeal fistula, hoarseness, difficulty of tongue muscle movement, dysphagia, dyspnea occurred in none. And postoperative follow-up for half a year revealed no recurrence. Conclusions Surgical removal of thyroglossal duct cyst without postoperative catheter drainage in children does not increase the incidence of postoperative complications and recurrence. Without catheter drainage, the postoperative comfortableness can be increased, the postoperative pain can be reduced and the possibility of pulling out the drainage tube and the difficulty of postoperative nursing will be lessened. Therefore, routine catheter drainage after surgical removal of thyroglossal duct cyst in children is unnecessary.

关 键 词：甲状腺舌管囊肿 引流管 术后并发症 

分 类 号：R653[医药卫生—外科学]