甲状腺舌管囊肿及瘘21例手术治疗分析

Surgical Management of Thyroglossal Duct Cyst and Fistula: Analysis of 21 Cases

目的 探讨甲状腺舌管囊肿 (thyroglossal ductcyst,TDC)及甲状腺舌管瘘 (thyroglossal duct fistula,TDF)的外科处理。方法 回顾性分析 1989年 1月～ 1999年 12月收治的 17例 TDC和 4例 TDF(3例在外院术后复发病例 )。 1例作了囊肿切除 ,2 0例作了 Sistrunk手术。结果 18例获得随访 ,无 1例复发。结论 Sistrunk手术是治疗 TDC和 TDF的有效术式 ,手术必须切除囊肿或瘘管 ,舌骨中段 1.0～ 1.5 cm和舌骨上导管 ,儿童为 3～ 5 mm,成人为 6～ 8mm。

Objective To evaluate of the surgical management of a thyroglossal duct cyst(TDC) and fistula(TDF). Methods The seventeen patients of TDC and 4 patients of TDF (3 patients with recurrent TDF after operations) was admitted from January 1989 to Decenber 1999. The nine patients were males, 12 patients were females. The age at operation was 2.5~65 years. 11 patients of them were children. Excision of the cyst without removed the hyoid bone was performed in one patients, and sistrunk procedure underwent in 20 patients. Results The follow up data of 18 of the 21 cases were available, none of them has had recurrence of TDC. Conclusion Sistrunk procedure is effective for treatment of TDC and TDF, the cyst, the middle portion of the hyoid bone (2.4~9.6 mm) and the single duct above the hyoid bone, 3~5 mm in child, 6~8 mm in adult were necessarily excised in operation.