14例儿童甲状舌管囊肿或瘘管术后复发的临床研究

Clinical study on recurrence of 14 children with thyroglossal duct cyst or fistula after surgery

摘要:

【】目的 探讨儿童甲状舌管囊肿或瘘管术后复发的临床特点和复发因素。方法 采集我院2015年7月至2024年7月期间收治的14例复发性甲状舌管囊肿或瘘管患者的临床资料,分析其临床特点和复发因素。结果:共20例,其中男8例,女6例。年龄3岁9月-8岁7月,平均年龄5岁9个月。初次手术后复发时间为7个月至6年,平均时间17个月。10例采用Sistrunk手术,4例采用囊肿切除术。复发临床表现:50%(7例)切口附近再次发现囊肿,35.7%(5例)切口处反复感染形成瘘管,7.1%(1例)患者出现睡眠打鼾,7.1%(1例)无临床症状。85.7%(12例)囊肿或瘘管和舌骨体相连,14.3%(2例)舌内段囊肿复发。结论 舌骨体残留是甲状舌管囊肿复发的首要因素,其次是舌内段囊肿残留。完整切除舌骨体可能对减少复发有着重要意义。

Abstract:

Objective: Explore the clinical characteristics and recurrence factors of recurrence of pediatric thyroglossal duct cyst or fistula. Methods: Collect clinical data of 14 patients with recurrent thyroglossal duct cysts or fistulas admitted to our hospital from July 2015 to July 2024, and analyze their clinical characteristics and recurrence factors. Results: There are a total of 20 cases, including 8 males and 6 females. The age distribution is 3 years and 9 months to 8 years and 7 months, with an average age of 5 years and 9 months. The recurrence time after the initial surgery ranges from 7 months to 6 years, with an average of 17 months. 10 cases underwent Sistrunk surgery for the first time, and four patients underwent cystectomy. Clinical manifestations of recurrence: 50% (7 cases) of patients experienced recurrent cysts and 35.7% (5 cases) experienced recurrent infections, forming fistulas at the incision. 7.1% (1 case) experienced sleep snoring, and 7.1% (1 case) had no clinical symptoms. 85.7% (12 cases) of cysts or fistulas were connected to the hyoid bone, and 14.3% (2 cases) of tongue segment cysts recurred.Conclusion: Residual hyoid bone is the primary factor for the recurrence of thyroglossal duct cysts, followed by residual lingual segment cysts. Complete removal of the hyoid bone may have significant implications for reducing recurrence.