[1]陆颖霞 谷庆隆** 梁洁琼.儿童甲状舌管囊肿分型及舌骨选择性保留的探讨[J].中国微创外科杂志,2020,01(11):1012-1015.
　Lu Yingxia,Gu Qinglong,Liang Jieqiong..On Classification of Thyroglossal Duct Cyst and Selective Preservation of Hyoid Bone in Children[J].Chinese Journal of Minimally Invasive Surgery,2020,01(11):1012-1015.
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儿童甲状舌管囊肿分型及舌骨选择性保留的探讨()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2020年11期
页码:
1012-1015
栏目:
临床研究
出版日期:
2020-11-25

文章信息/Info

Title:
On Classification of Thyroglossal Duct Cyst and Selective Preservation of Hyoid Bone in Children
作者:
陆颖霞 谷庆隆** 梁洁琼
(首都儿科研究所附属儿童医院耳鼻咽喉-头颈外科，北京100020)
Author(s):
Lu Yingxia;  Gu Qinglong;  Liang Jieqiong.
Department of Otolaryngology, Head & Neck Surgery, Children’s Hospital Capital Institute of Pediatrics, Beijing 100020, China
关键词:
甲状舌管囊肿; 舌骨; 儿童
Keywords:
Thyroglossal duct cyst; Hyoid bone; Child
文献标志码:
A
摘要:
目的提出儿童甲状舌管囊肿分型以及据此选择性保留舌骨的手术方式。方法在2015年1月~2019年12月46例儿童甲状舌管囊肿手术中，根据瘘管与舌骨的关系分为Ⅰ型(瘘管与舌骨无明显连接)、Ⅱ型(瘘管与舌骨紧密连接但可完整分离)和Ⅲ型(瘘管穿过舌骨)。对Ⅰ型1例(2.2%)和Ⅱ型26例(56.5%)行保留舌骨的改良Sistrunk术，对Ⅲ型19例(41.3%)行切除舌骨的传统Sistrunk术。结果行改良Sistrunk术27例，传统Sistrunk术19例，2组手术时间分别为(60.4±6.5)、(60.5±6.9)min，术中出血量分别为(21.5±7.1)ml、(25.5±6.9)ml，均无并发症发生。2组随访时间分别为(19.4±16.0)、(22.4±17.4)月，复发率分别为3.7%(1/27)、5.3%(1/19)。结论在仔细观察甲状舌管囊肿瘘管走行的基础上，对瘘管未穿舌骨的病例行保留舌骨的改良甲状舌管囊肿切除术是可行的，不增加术后复发率。
Abstract:
ObjectiveTo investigate the classification of thyroglossal duct cyst (TGDC) in children and the selective hyoid bone preservation in TGDC excision.MethodsA total of 46 children undergoing thyroglossal duct cyst surgery from January 2015 to December 2019 were enrolled in this study. According to the relationship of fistula and hyoid bone, the TGDC were divided into 3 types: type Ⅰ, the fistula was not connected to the hyoid bone; type Ⅱ,the fistula closely connected with hyoid bone but could be completely separated; type Ⅲ,the fistula passed through the hyoid bone. Modified Sistrunk surgeries with hyoid bone preservation were performed for type Ⅰ (n=1, 2.2%) and Ⅱ (n=26, 56.5%), and traditional Sistrunk surgeries with hyoid bone excision were performed for type Ⅲ (n=19, 41.3%).ResultsA total of 27 patients underwent modified Sistrunk surgery and 19 patients underwent traditional Sistrunk surgery. The operative time of the two groups was (60.4±6.5) min and (60.5±6.9) min, and the intraoperative blood loss was (21.5±7.1) ml and (25.5±6.9) ml, respectively. No complications were observed. The followup time of the two groups was (19.4±16.0) months and (22.4±17.4) months, and the recurrence rate was 3.7% (1/27) and 5.3% (1/19), respectively.ConclusionOn the basis of careful observation of the TGDC operation, it is feasible to perform modified Sistrunk surgeries with hyoid bone preserving in cases without the fistula passed through the hyoid bone, without increasing the postoperative recurrence rate.

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备注/Memo

备注/Memo:
基金项目：北京市医院管理局儿科学科协同发展中心专项经费资助(XTZD20180102)**通讯作者，Email：gql71@163.com
更新日期/Last Update: 2021-02-07