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由于颈部解剖复杂,虽然临床上表现为一个或数个肿块,但病变却大有不同。随着临床经验积累,知识面拓展,一个合格的临床医生对于出现的各种颈部肿块,会很快做出初步印象诊断。颈部肿块根据其发生的时间,分为先天性肿块和后天性肿块。后天性肿块又分为新生物性及炎性肿块,炎性肿块分为特异性炎性(结核性)和非特异性炎性肿块,新生物肿块分为良性和恶性肿瘤。一、先天性肿块1.甲状舌管囊肿:为最常见的颈正中线囊肿。来源于胚胎时期甲状舌管残留,发生部位上起舌骨孔,下至胸骨柄切迹任何处以及胸锁乳突肌前缘。发病年龄
Due to the complicated anatomy of the neck, although the clinical manifestations of one or several lumps, but the lesions are very different. With the accumulation of clinical experience, knowledge expansion, a qualified clinician for the emergence of a variety of neck lumps, will soon make a preliminary impression diagnosis. Neck mass is based on the time it occurs, is divided into congenital mass and acquired mass. Acquired tumors are divided into new biological and inflammatory mass, inflammatory mass is divided into specific inflammatory (tuberculous) and non-specific inflammatory mass, new biological mass is divided into benign and malignant tumors. First, the congenital mass 1 thyroglossal cyst: the most common neck is the midline cyst. From the thyroid tongue during the embryonic residue, the occurrence of hypoalpeptic parts of the site, anywhere down to the sternotomy notch and sternocleidomastoid front. Age of onset