论文部分内容阅读
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 recurrence of thyroid tongue cysts and fistulas in children. Methods: Retrospective analysis of 85 cases of thyroid gland cyst and fistula admitted to our hospital from January 1990 to October 2000. Results: There were 65 cysts and 20 fistulas. Sistrunk’s surgery was cured. Fifty patients were followed up for 1 year to 9 years, with satisfactory results. Among the 17 cases with preoperative infection, 12 cases relapsed with a recurrence rate of 71%. Conclusion: In order to reduce the recurrence rate, radical resection should be performed before the infection or fistula occurs. In addition to the complete removal of the cyst and fistula, the middle part of the hyoid bone must be removed.