舌异位甲状腺的诊断和治疗

Diagnosis and Treatment of Lingual Thyroid Gland.

目的 总结舌异位甲状腺的诊断和治疗体会。方法 回顾分析了 5例舌异位甲状腺病人的治疗情况 ,其中 3例行异位甲状腺全切除术 ,并行带蒂移植 ;1例行次全切除 ,切除的部分正常腺组织行游离移植 ;1例未予手术给予甲状腺素片口服。结果 4例手术的病人均治愈 ,服用甲状腺素片的 1例病人症状消失 ,随访两年未复发。结论 术前B超、1 31 I扫描对诊断是必需的。舌体中线切开和颈前舌骨上进路 ,带蒂移植是较为合理的方法。

Objective To discuss the diagnosis and treatment of lingual thyroid. Methods Retrospective analysis was made for 5 cases of lingual thyroid,including 3 total resection of lingual thyroid and pediculated grafting, 1 partial subtotal resection and free grafting, 1 medicated thyroxine for three months.The follow-up survey of all the patients lasted for one or two years. Results 4 cases were cured after the operation. 1 patient who took thyroxine had no symptom for two years. Conclusion The examination of 131 I scanning and ultrasonography is needed. Operation is unnecessary for patients with symptom free. Pediculated grafting may be a reasonable choice