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目的:探讨各种非甲状腺来源的颈部囊性肿块的特点,提高颈部肿块术前诊断的准确性,降低手术的盲目性和风险。方法:回顾性分析1999～2005年收治的非甲状腺来源的颈部囊性肿块122例。结果:资料表明,非甲状腺来源的颈部囊性肿块以先天性来源肿块最为多见,共84例,其中最常见的是甲状舌管囊肿;其次是感染性肿块30例,其中颌下腺囊肿25例;肿瘤来源最少见,共8例。主要根据肿块发生时间的长短,肿块的位置,颈部囊性肿块特异性表现和辅助检查来进行术前诊断。发现肿块的位置没有特殊性。根据某些肿块特征性的体征和穿刺检查,可明确诊断。结论:对非甲状腺来源的颈部囊性肿块,术前尽可能的明确诊断能有效地减少手术盲目性,降低手术并发症。
Objective: To explore the characteristics of various cystic masses of non-thyroid origin and to improve the accuracy of preoperative diagnosis of cervical masses and reduce the blindness and risk of surgery. Methods: A retrospective analysis of 122 cases of non-thyroid-derived cystic neck mass from 1999 to 2005 was performed. Results: The data showed that cystic masses of non-thyroid origin were the most common cystic masses of congenital origin, a total of 84 cases, the most common of them were thyroglossal cyst; followed by 30 cases of infectious cysts, including 25 cases of submandibular gland cyst ; The most common source of cancer, a total of 8 cases. Mainly based on the length of time the tumor occurs, the location of the tumor, the cystic mass of the neck and the auxiliary examination for the performance of preoperative diagnosis. No specific mass of the tumor was found. According to the characteristic signs and punctures of some lumps, a definite diagnosis can be made. Conclusion: For the non-thyroid-derived cystic neck mass, as much as possible a clear diagnosis before surgery can effectively reduce the blindness of the operation and reduce the surgical complications.