颈部支气管源性囊肿14例临床诊治分析

Diagnosis and treatment of cervical bronchogenic cysts in 14 cases

目的:分析颈部支气管源性囊肿的临床特征及诊治经验。方法:回顾性分析2015年9月至2020年9月期间郑州大学第一附属医院经手术病理证实的14例颈部支气管源性囊肿的临床资料,分析其临床特征、影像学特点、术中探查及治疗。结果:所有患者均行手术切除,其中8例位于左侧颈部,6例位于右侧颈部,直径0.8~5.8 cm,平均直径为(3.4±1.7)cm,10例与甲状腺关系密切,其中2例紧邻喉返神经。术后病理诊断均提示支气管源性囊肿,所有患者在随访期间均未复发。结论:颈部支气管源性囊肿是罕见的胸腔外支气管源性囊肿先天畸形,确诊依赖于病理检查,彻底地手术切除是预防复发的关键。

Objective To analyze the clinical characteristics and surgical treatment of patients with cervical bronchogenic cyst.Methods This study enrolled 14 cases of cervical bronchogenic cysts confirmed by surgery and pathology in our hospital from Sep 2015 to Sep 2020 to discuss clinical,imaging features and diagnosist.Results Cysts lay in the left neck in 8 cases and in the right side in 6 cases,with the largest diameter of 5.8 cm and the smallest of 0.8 cm(3.4+1.7)cm.Cysts were closely related to the thyroid in 10 cases,adjacent to the recurrent laryngeal nerve in 2 cases.The postoperative pathology established the diagnosis of bronchogenic cyst,and no patients suffered from recurrence during the follow-up period.Conclusionss Cervical bronchogenic cyst is a rare congenital malformation of extrathoracic bronchogenic cyst.Final diagnosis is dependent upon pathology.Complete surgical resection is the keytopreventrecurrence.