手术治疗甲状舌管囊肿117例临床分析

Clinical analysis of 117 cases of thyroglossal cyst treated by surgery

目的探讨甲状舌管囊肿的手术方法及总结经验。方法回顾性分析1998年1月-2018年6月收治的甲状舌管囊肿患者的临床资料。结果 117例接受手术治疗的患者中,110例一次手术治愈,7例复发后再次手术治愈。2例术后出血,均未发生手术切口感染、咽瘘、舌下神经损伤等并发症。结论手术是治疗甲状舌管囊肿的主要方法,术中应切除部分舌骨及周围可疑病变,缝扎根蒂部,彻底止血,方能减少术后并发症及复发。

Objective To explore the surgical method of thyroglossal cyst and summarize the experience.Methods A retrospective analysis was performed on the clinical data of patients with thyroglossal cyst admitted to our hospital from January 1998 to June 2018.Results Of the 117 patients who received surgical treatment, 110 were cured by one operation and 7 were cured by another operation after recurrence.Postoperative bleeding occurred in 2 cases without complications such as incision infection, pharyngeal fistula and hypoglossal nerve injury.Conclusion Operation is the main method for the treatment of thyroglossal cyst.In order to reduce postoperative complications and recurrence, we should remove part of the hyoid bone and its surrounding suspicious lesions, suture and root pedicle, and completely stop bleeding.