颈部支气管源性囊肿诊治分析

Analysis of clinical features of cervical bronchogenic cyst

目的探讨颈部支气管源性囊肿的临床特征、诊断及治疗以减少误诊误治。方法回顾性分析2008年1月~2016年9月我院收治的16例颈部支气管源性囊肿患者的临床资料,对其临床表现、诊断、治疗和预后等进行分析。结果患者中男性7例,女性9例,体检发现14例,因颈部肿痛发现1例,呼吸压迫感1例。囊肿最大径1.5~8.0 cm。影像学检查表现为囊性或囊实性。16例患者术前均未准确诊断,均行手术治疗,病理诊断为支气管源性囊肿。2例有症状患者术后症状缓解。15例患者获随访,随访时间1个月~8年,B超检查未见复发。结论颈部支气管源性囊肿发生率不高,容易误诊,应注意鉴别诊断,手术切除囊肿后患者预后良好。

OBJECTIVE To analyze the clinical features of cervical bronchogenic cyst. METHODS The clinical data of 16 cases with cervical brochogenic cyst treated in our hospital from Jan 2008 to July 2016 were retrospectively analyzed. The clinical manifestation,diagnosis, t reatment and prognosis were analyzed.RESULTS Of the patients, 7 was male and 9 were female.14 cases were diagnosed from physical examination. 1 cases from cervical pain and 1 case from oppression of breath. The major diameter was from 1.5 cm to 8.0 cm. Ultrasonography and CT scan could reveal cystic or cystic-solid masses.All cases were all misdiagnosed preoperatively. They all underwent operations. The pathological diagnoses were all bronchogenic cysts. 2 symptomatic patients became asymptomatic after operations. 15 patients had been followed up. During the follow-up of 1 month to 8 years,no recurrence had been found with Ultrasonography.CONCLUSION Cervical bronchogenic cyst is rare and easily misdiagnosed. It should be considered in the differential diagnosis of a cervical mass. After surgical removal, the patients have a good prognosis.