甲状腺舌囊肿及瘘管的手术治疗

Surgical Treatment of Thyroglossal Cyst and Fistula

目的:探讨儿童甲状腺舌囊肿和瘘管的手术治疗及复发原因。方法:回顾性总结分析1990年1月～2000年10月我院收治儿童甲状腺舌囊肿及瘘管85例。结果:囊肿65例,瘘管20例;采用Sistrunk's手术治疗均获痊愈。50例随访1年～9年,疗效满意;术前合并感染17例中,术后12例复发,复发率71％。结论:为了降低术后复发率,应尽可能在感染或瘘管发生前行根治性切除术,术中除必须完整切除囊肿及瘘管外,还必须切除舌骨中段。

Objective: To investigate the surgical treatment and cause of recurrence in children with thyroglossal cyst and fistula. Methods: From Jan. 1990 to Oct.2000, as many as 85 cases diagnosed as this entity were analyzed retrospectively. Results: 65 cases were diagnosed as cyst while 20 cases were diagnosed as fistula. All were underwent Sistrunk's procedure and recovered postoperatively. 50 cases were followed up for 1-9 years with satisfactory outcome. In the 17 cases with infection preoperatively, recurrence occurred in 12 of them postoperatively. Conclusion: In order to decrease the recurrence rate,radical operation is necessary as early as possible. The key to effective treatment lies in complete resection of all the cyst, fistula and middle part of the hyoid as well.