婴儿巨大鳃裂囊肿17例临床分析

Clinical analysis of 17 cases of giant infant branchial cleft cyst

目的：总结婴儿巨大鳃裂囊肿的诊断和治疗经验。方法回顾性分析17例巨大鳃裂囊肿婴儿的临床资料，包括临床表现、CT 检查。17例均采用手术治疗，手术采用颈外大 L 弧形切口。观察临床效果。结果17例患儿均有不同程度的吸入性呼吸困难，CT 检查结果与术后病理诊断相符，术后颈部皮瓣未出现坏死，随访半年至6年未见囊肿复发。结论婴儿巨大鳃裂囊肿主要表现为吸入性呼吸困难；其诊断应主要依据 CT 检查；颈外大 L 弧型切口有利于充分暴露术野且皮瓣不易坏死。

Objective To summary the experience in the diagnosis and treatment of enormous infant bran-chial cleft cyst（EIBCC）.Methods 17 cases of EIBCC inpatient were retrospectively analyzed,with the clinical char-acteristics,CT imaging materials.17 cases were treated with operation.The surgical operation was performed with the L curve of the external jugular incision.The the clinical effect was observed.Results The 17 EIBCC cases clinically＆amp;nbsp;appeared as difficult breathing in different degrees.The results of CT were consistent with the pathological diagnosis. There was no necrosis of the cervcal iskin flap.There was no post -operative recurrence after a half to 6 years following -up.Conclusion Dyspnea is the common clinical manifestation of EIBCC.Spiral CT is of great importance to diagnose the IBCC.Airway maintenance is the premise of safe cure.Surgical ablation is the main treatment of EIBCC.