经囊内切除小儿颈部囊状淋巴管瘤46例体会

Resection of cervical cystic hygroma in children by opening its wall:a report of 46 cases.

目的 介绍经囊内切除颈部囊状淋巴管瘤方法 ,探讨其优缺点。方法 采用经囊内切除颈部囊状淋巴管瘤46例。结果 38例完整剥离淋巴管瘤囊壁 ,8例由于浸润舌根或 (和 )延伸入颅内 ,尽可能切除淋巴管瘤囊壁 ,残余部分附加药物治疗 ,随诊 0 5年～ 4年 ,仅 1例复发。结论 临床实践证明本法简便易行 ,损伤小 ,安全 ,并发症发生率少。

Objective To introduce a surgical procedure for removing cervical cystic hygroma in children and discuss its advantages and disadvantages.Methods Forty-six cases were submitted to have their cystic wall cut open and dissected out of the neighboring tissues as a hernial sac was excised.Results In our series 38 cases had the hygroma removed en bloc while in other only the majority of the cyst was resected as technically possible as we could because the tongue root or the cranial cavity was invaded by the lesion.The residue was topically treated with medicinal agents.There was only one case seen with recurrence within the follow-up period of from 0 5 to 4 years.Conclusion Clinical practice has proved that our “trans-cystic' approach is really a simple,easy and safe technique with less complications.