成人颈部囊性水瘤外科治疗(附9例报道)  

Surgical treatment of cervical cystic hygroma in adult( a report of 9 cases)

作　　者：黄朝平[1,2] 刘良发 路承[2] 张奥博[2] 董研博[2] 葛鑫颖 朱力 HUANG Chao-ping;LIU Liang-fa;LU Cheng;ZHANG Ao-bo;DONG Yan-bo;GE Xin-ying;ZHU Li(Department of Otolaryngology-Head and Neck Surgery,the First Affiliated Hospital of Chengdu Medical College,Cheng-du 610500,China;Department of Otolaryngology-Head and Neck Surgery,Beijing Friendship Hospital,Capital Medical University,Be~iing 100054,China)

机构地区：[1]成都医学院第一附属医院耳鼻咽喉头颈外科,四川成都610500 [2]首都医科大学附属北京友谊医院耳鼻咽喉头颈外科,北京100054

出　　处：《中国耳鼻咽喉颅底外科杂志》2018年第4期356-360,共5页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：北京市教委面上项目(KM201510025026);北京友谊医院启动课题(yyqdkt2014-23;yydszx2015-02)

摘　　要：目的回顾性分析9例成人颈部囊性水瘤患者的临床病例资料,总结对该病的外科治疗。方法收集2014年4月~2017年6月首都医科大学附属北京友谊医院耳鼻咽喉头颈外科诊治的9例成人颈部囊性水瘤患者的临床资料,其中男5例,女4例;年龄18-63岁。均为单侧发病,其中左侧4例,右侧5例。根据de Serres分期Ⅰ期5例,Ⅱ期及Ⅲ期各2例;水瘤位于咽旁间隙7例,颈后三角1例,舌骨前下方1例。结果所有患者均经颈外径路完整切除,随访5~38个月未见复发。2例出现Horner征,自行恢复,无其他严重并发症。结论对于成人颈部囊性水瘤患者,手术应作为治疗的首选方式,完整剥离并切除囊壁是减少复发的关键。Objective To study the surgical treatment of cervical cystic hygroma in adult. Methods Clinical data of 9 adult patients suffering from cervical cystic hygroma surgically treated in our department from April 2014 to June 2017 were analyzed retrospectively. Of them, 5 were male and 4 were female with an age range from 18 to 63 years. All the hygromas were unilateral with left side in 4 cases and right side in 5. According to the de Serres stage system, 5 patients were at stage I, 2 were at stage II and another 2 at stage III. As for the tumor site, 7 were in the parapharyngeal space, one was in the posterior cervical triangle, and one anteroinferior to the hyoid bone. All patients underwent surgical treatment. Results Cystic hygroma was completely removed via external cervical approach in all cases. Homer syndrome occurred in 2 patients and got recovered spontaneously. All patients had been followed up for 5 to 38 months postoperatively, neither recurrence nor serious complications occurred. Conclusion Surgical treatment is the preferred choice for cervical cystic hygroma in adult. Complete stripping and excision of cystic wall is the key to reduce recurrence.

关 键 词：囊性水瘤 颈部 淋巴管瘤 颈部 淋巴系统畸形 外科手术 

分 类 号：R739.91[医药卫生—肿瘤] R653[医药卫生—临床医学]