颈前中线分区清扫治疗儿童复发性甲状舌管囊瘘

The selective anterior neck dissection for treating children′s recurrent thyroglossal duct cysts

目的：探讨颈前中线分区清扫术治疗儿童复发性甲状舌管囊瘘的疗效。方法：回顾性分析28例儿童复发性甲状舌管囊瘘病例资料。根据甲状舌管囊瘘的胚胎学和解剖学特点，采用颈前中线分区清扫术治疗，应用整块切除原则根除病变组织、瘢痕、炎性肉芽。结果：28例手术切口I期愈合。所有患儿术后无吞咽困难、发声障碍、舌下神经损伤及喉上神经损伤等。术后随访24～72个月，平均46个月，未见复发。结论：颈前中线分区清扫术治疗儿童复发性甲状舌管囊瘘安全、有效。

Objective：To evaluate the therapeutic effect of selective anterior neck dissection on the treatment of children＇s recurrent thyroglossal duct cysts. Method： The clinical data of 28 patients with recurrent thyroglossal duct cysts were retrospectively analyzed. In accordance with the embryologic and anatomic features of thyroglossal duct cysts,different types of selective neck dissection were applied. Enbloc resection principles were applied to extirpate thyroglossal duct cysts, scarrings and inflammatory granuloma during the operation. Result： All the wounds of 28 patients healed primarily without significant complications including dysphagia, paragammacism, injury of hypoglossal nerve and superior laryngeal nerve. No recurrences were found in all 28 cases with a follow-up period of 24 to 72 months（average 46 months）. Conclusion：Selective anterior neck dissection is a safe and effective surgical procedure for the radical treatment of children＇s recurrent thvroglossal duct cysts.