颏下横切口在儿童甲状舌管囊肿手术中的应用

潘无忌; 孙剑; 周峻; 孙德霞; 吴鹏; 韩齐

doi:10.13201/j.issn.1001-1781.2019.11.014

颏下横切口在儿童甲状舌管囊肿手术中的应用

- 南京医科大学附属儿童医院普外科(南京, 210029)

详细信息

通讯作者: 周峻,E-mail:horkjohn@tom.com

中图分类号: R765

收稿日期: 2019-03-04

Excision of thyroglossal cyst in children by transverse submentum incision

- Department of General Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210029, China

More Information

Corresponding author: ZHOU Jun, E-mail: horkjohn@tom.com

Received Date: 04 March 2019

摘要

摘要: 目的:探讨颏下横切口在甲状舌管囊肿手术中的应用。方法:对2014-01-2017-12收治的14例甲状舌管囊肿患儿取颏下横切口行甲状舌管囊肿切除。全部病例均在完善术前相关检查后取颏下皮纹切口,切开皮肤、皮下组织、颈阔肌,向下掀起皮瓣,沿白线切开并向两侧分离带状肌,见肿物后沿囊壁分离至舌骨附着处,消融舌骨附着处囊壁黏膜,电刀离断舌骨。创腔确实止血后,逐层缝合,皮肤用外科缝线进行连续皮内缝合。记录手术时间、术中出血量、有无严重并发症、伤口愈合时间及有无严重手术瘢痕。密切随访,观察有无切口感染及复发。电话告知家长门诊复诊,门诊复诊时采用儿童行为问卷对患儿进行心理评估,对患儿手术瘢痕运用温哥华瘢痕评定量表进行评分,对家长是否满意手术方式进行调查。结果:14例颏下横切口甲状舌管囊肿切除术均成功,手术时间(55.0±10.5)min、术中出血均<10 ml,术后无声嘶、呼吸困难以及音调降低、呛咳,伤口愈合时间平均1周,无严重手术瘢痕、无切口感染及复发。患儿心理评估在正常同龄儿范围内,14例患儿家长对手术方式均满意。结论:颏下横切口甲状舌管囊肿切除手术安全、可靠、外观满意。
- 甲状舌管囊肿 /
- 颏下横切口 /
- Sistrunk术式
Abstract: Objective: To explore the application of transverse submentum incision in thyroglossal duct cyst surgery. Method: Submentum transverse incision for thyroglossal duct cyst removal in 14 children with thyroglossal duct cyst from January 2014 to December 2017. All cases were performed submentum dermatoglyphic incision, skin incision, subcutaneous tissue, platysma muscle incision, down lifting flap, along the white line incision and separation of banded muscle on both sides, see the mass along the wall of the capsule separated to the attachment of the hyoid bone, ablation of the mucosa of the capsule wall of the hyoid bone attachment, electrotome to break the hyoid bone. The cavity is indeed stopped after bleeding, and the skin is sutured continuously for continuous intradermal suture. The operation time, bleeding volume, severe complications, wound healing time and severe surgical scars were recorded. Close follow-up was performed to observe whether there was infection or recurrence of incisional wound. Parents were informed by telephone to go back to the outpatient clinic. RUTTER Children's Behavior Questionnaire was used to assess the children's psychological status. Vancouver Scar Rating Scale was used to evaluate the children's surgical scars, and to investigate whether parents satisfactory surgical methods. Result: Fourteen cases of thyroglossal duct cyst underwent transverse incision thyroglossal duct cyst excision successfully. The average operative time was 55 minutes, and the standard deviation was 10.5 min, bleeding was less than 10 ml, postoperative hoarseness and weakness of voice, silence became low, wound healing time averaged one week, no serious surgical scars, no wound infection and recurrence. Among the normal children of the same age group, 14 parents were satisfied with the operation.Conclusion: Excision of thyroglossal duct cyst under transverse incision is safe, reliable and satisfactory in appearance.
- thyroglossal duct cyst /
- submentum transverse incision /
- sistrunk's operation

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