甲状舌管囊肿临床分类与手术关系探讨.pdf

354 Journal of Chinese Physician, March, 2005, Vol 7, No3 乔祖俊, 扬毅军, 焦凤萍 ( 河南省焦作市二医院外科, 河南 焦作 454100) 对甲状舌管囊肿进行临床分类, 并探讨各分类型与治疗的 系 对136 例甲状舌管囊肿进行手术, 其 中男98例, 女38例, 年龄 1~ 38 岁根据术中美兰染色范围术中术后病理分析, 将其分为5 类: I舌骨下囊肿或网状瘘管分枝, 舌骨上单 个瘘管; II舌骨上下均有囊肿或网状瘘管分枝; III舌骨上囊肿或网状瘘管分枝, 舌骨下单 个瘘管; IV舌骨下囊肿或 网状瘘管分枝, 舌骨上瘘管闭合; V舌骨上囊肿或网状瘘管分枝舌骨下瘘管闭锁其中舌盲孔和其下瘘管与口腔不通为亚类 I~ V 类分别占: 5072% 3162% 956% 074% 0% 全组均手术, 行Sistrunk s 手术 112 例, 不规则手术24 例全组随访5 年, 2例失访复发率: Sistrunk s 手术734% , 不规则手术166% 手术后复发与手术中解剖不清致使瘘管组织残留及切除 范围有 对各亚类以单管形式开口舌盲孔, 应行 Sistrunk s 手术; 舌盲孔和其附近网状瘘管与口腔通畅者, 此网状分枝以下瘘 管囊肿必须切除 [ ] 甲状舌管囊肿; 分类法; Sistrunks 手术 A Study on the Relationship between Clinical Classification and Operative Approach of Thy roglossal Cyst QIA O Z u - j un, YAN G Yi- j un, JIA O Feng - p ing . De artment of General Surgery, The Second Hos ital of Jiaozuo City, Jiaozuo 454100, China A bstract Obj ective To classify thyroglossal cyst, and ex lore the relation between its clinical classification and o erative manner. Meth ods 136 cases of thyroglossal cyst were treated by surgery. Among them, 98were male and 38were female. Their ages were 1to 38 years old. Ac cording to intrao erative findings and osto erative athological examination, thyroglossal cyst was classified into 5 ty es: inferior glossohyal cyst or com lex network fistula, and single su erior glossohyal fistula(ty e I) ; inferior and su erior glossohyal cyst or com lex network fistula( ty e II) ; su erior glossohyal cyst or com lex network fistula, and single inferior glossohyal fistula(ty e III) ; inferior glossohyal cyst or com lex network fistula, and closed su erior glossohyal fistula(ty e IV) ; and su erior glossohyal cyst or com lex network fistula, and closed inferior glossohyal fistula(ty e V) . Lingual foramen cecum and fistula without connectionwith oral cavity was classified in