颈前中线分区清扫治疗儿童复发性甲状舌管囊瘘

姚丹勉; 陈良嗣; 梁璐; 张贝; 罗小宁; 张思毅; 卢仲明

doi:10.13201/j.issn.1001-1781.2016.19.010

颈前中线分区清扫治疗儿童复发性甲状舌管囊瘘

- 1. 汕头市中心医院(中山大学附属汕头医院)耳鼻咽喉头颈外科(广东汕头, 515000);
- 2. 广东省人民医院(广东省医学科学院)耳鼻咽喉头颈外科

详细信息

通讯作者: 陈良嗣,E-mail:lancer_chen@21cn.com

中图分类号: R653

收稿日期: 2016-02-16

The selective anterior neck dissection for treating children's recurrent thyroglossal duct cysts

- 1. Department of Otolaryngology Head and Neck Surgery, Shantou Central Hospital, Affiliated Shantou Hospital of Sun Yat-sen University, Shantou, 515000, China;
- 2. Department of Otolaryngology Head and Neck Surgery, Guangdong General Hospital, Guangdong Academy of Medical Science

More Information

Corresponding author: CHEN Liangsi, E-mail: lancer_chen@21cn.com

Received Date: 16 February 2016

摘要

摘要: 目的:探讨颈前中线分区清扫术治疗儿童复发性甲状舌管囊瘘的疗效。方法:回顾性分析28例儿童复发性甲状舌管囊瘘病例资料。根据甲状舌管囊瘘的胚胎学和解剖学特点,采用颈前中线分区清扫术治疗,应用整块切除原则根除病变组织、瘢痕、炎性肉芽。结果:28例手术切口Ⅰ期愈合。所有患儿术后无吞咽困难、发声障碍、舌下神经损伤及喉上神经损伤等。术后随访24~72个月,平均46个月,未见复发。结论:颈前中线分区清扫术治疗儿童复发性甲状舌管囊瘘安全、有效。
- 儿童 /
- 复发 /
- 甲状舌管囊瘘 /
- 手术 /
- 颈前中线分区清扫术
Abstract: Objective:To evaluate the therapeutic effect of selective anterior neck dissection on the treatment of children's recurrent thyroglossal duct cysts.Method:The clinical data of 28 patients with recurrent thyroglossal duct cysts were retrospectively analyzed.In accordance with the embryologic and anatomic features of thyroglossal duct cysts,different types of selective neck dissection were applied. Enbloc resection principles were applied to extirpate thyroglossal duct cysts,scarrings and inflammatory granuloma during the operation.Result:All the wounds of 28 patients healed primarily without significant complications including dysphagia, paragammacism, injury of hypoglossal nerve and superior laryngeal nerve. No recurrences were found in all 28 cases with a follow-up period of 24 to 72 months(average 46 months).Conclusion:Selective anterior neck dissection is a safe and effective surgical procedure for the radical treatment of children's recurrent thyroglossal duct cysts.
- child /
- recurrence /
- thyroglossal duct cysts /
- operation /
- selective anterior neck dissection

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参考文献(10)

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