舌根部甲状舌管囊肿的诊断与治疗.pdf

中国耳鼻咽喉头颈外科2008年6月,第15卷,第6期 / 论 著 舌根部甲状舌管囊肿的诊断与治疗 李天成，刘玉和，王军，王全桂，秦永，肖水芳 （北京大学第一医院耳鼻咽喉头颈外科，北京　100034） [摘 要]　目的　探讨发生于舌根部的非典型甲状舌管囊 [ABSTRACT]　OBJECTIVE　To study the manifesta- 方法 肿的临床表现、诊断和治疗方法。 　回顾分析4例 tion, diagnosis and treatment of the atypical thyroglossal 发生于舌根部的甲状舌管囊肿患者的临床资料，手术采 cyst in the base of tongue. METHODS Four patients 用支撑喉镜下激光切除术和颈外径路Sistrunk术。结果 with thyroglossal cyst in the base of tongue were 咽部异物感、咽部阻塞感是发生于舌根的甲状舌管囊肿 reviewed. Presenting symptoms and treatment were 的主要临床表现；颈部超声和CT检查是明确诊断的主要 analyzed retrospectively. All the patients underwent 检查方法。支撑喉镜下激光手术无一例外均导致囊肿复 operation. RESULTS　 Foreign body and obstruction 发，3例复发1次，1例复发3次，颈外径路Sistrunk术将 sensation of pharynx was the major symptom for 结论 囊肿完整切除。 　发生于舌根的甲状舌管囊肿应常 thyroglossal cyst in the base of tongue. Ultrasonic 规行颈部超声和CT检查，以明确诊断；治疗首选颈外径 examination and CT scanning were the methods to 路Sistrunk术式。 make correct diagnosis. Transoral endoscopic laser [ ] 关键词　甲状舌管囊肿；舌；耳鼻喉外科手术 resection of the cyst resulted in recurrence. Three patients recurred once and one patient recurred 3 times. Diagnosis and treatment of atypical thyroglossal Recurrent cysts were completely removed with trans- cyst cervical Sistrunk procedure. CONCLUSION　Ultrasonic LI Tiancheng, LIU Yuhe, WANG Jun, WANG Quangui, examination and CT scanning are the basic screening QIN Yong, XIAO Shuifang tools for the diagnosis of thyroglossal cyst in the base (Department of Otolaryngology Head and Neck