舌异位甲状腺的诊断与治疗  

DIAGNOSIS AND TREATMENT OF ECTOPIC LINGUAL THYROID

作　　者：刘水明[1] 黎万荣[1] 张薇[1] 

机构地区：[1]泸州医学院附属医院耳鼻咽喉-头颈外科,四川泸州646000

出　　处：《泸州医学院学报》2004年第1期35-36,共2页Journal of Luzhou Medical College

摘　　要：目的 :探讨舌异位甲状腺诊治方法。方法 :将我院从 1992年 10月～ 2 0 0 0年 2月收治的 18例舌异位甲状腺患者的临床资料进行总结分析 ,其中异位甲状腺全切除术 5例 ,部分切除术 3例 ,次全切除加部分带蒂移植10例。结果 :1例异位甲状腺癌行全切除术后出现甲状腺功能低下 ,部分切除术后 2例复发 ,其余 15例情况良好。结论 :术前常规B超检查、同位素扫描、细胞学检查和冰冻切片对异位甲状腺的诊断有指导意义 ;治疗上 ,患者无症状 ,异位甲状腺无恶变 ,可不予治疗 ,如果出现临床症状 ,对于副甲状腺 ,可作全切除术 ,若为迷走甲状腺 。Objective: To investigate the diagnosis and treatment of ectopic lingual thyroid. Methods: Retrospective analysis was made for 18 cases of ectopic lingual thyroid treated from 1992.10～2002.2, 5 total resection,3 partial resection,10 subtotal resection and pediculated grafting. Results: 1 hypothyroidism was found and 2 recurrence happened; the other 15 were totally cured after the operations. Conclusion: It is our opinion that the B-mode ultrasonic, the isotope scanning, the fine needle aspiration biopsy cytology and fast freezing section have directory significance in the diagnosis and treatmeat of ectopic thyoid disease. If the patient has no symptom, treatment is unnecessary. But if the functions of swallow, speech or respiration are affected by lingual ectopic thyroid, the total section for accessory thyroid should be conducted, the subtotal and pediculated grafting may be the most suitable choice for stray thyroid.

关 键 词：舌 异位甲状腺 甲状腺切除术 移植 

分 类 号：R581[医药卫生—内分泌]