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目的 通过对 1 1 7例甲状舌管囊肿中 1 2岁以下小儿病例分析 ,探讨其临床诊治特点。方法 收集与分析临床资料 ,追踪治疗效果。结果 1 1 7例中 ,1 2岁以下患儿 82例 ,占 70 .1 % ;其中 4岁以下发生者占 48.8%。囊肿位于舌骨下者为 6 2 .6 7% ,舌骨水平者 1 7.33% ,舌骨以上者为 2 0 % ;位于颈中线者为 81 .33% ,颈中线偏左者为 8% ,偏右者为 1 0 .6 7%。手术麻醉多选择基础麻醉加局麻。初次手术者复发率为 6 .9%。结论 甲状舌管囊肿多发生于小儿 ,囊肿位置可位于舌骨上下 ,颈中线或偏向一侧。小儿手术麻醉及手术有一定特点 ,不当手术容易复发。
Objective To analyze the characteristics of clinical diagnosis and treatment of 117 cases of children with thyroglossal cysts under 12 years of age. Methods Collect and analyze clinical data and follow up the therapeutic effect. Results Among 117 cases, 82 cases of children under 12 years old accounted for 70.1%, of which 48.8% were under 4 years old. Cysts in the hyoid bone was 26.76%, hyoid level was 17.33%, the hyoid bone was 20%; in the middle of the neck was 81.33%, the left side of the median neck was 8% The right-hand man is 10.67%. Surgical anesthesia and choose more basic anesthesia plus local anesthesia. The recurrence rate of primary surgery was 6.9%. Conclusion The thyroglossal cyst usually occurs in children. The position of the cyst can be located on the hyoid bone, the midline of the neck or the one side. Pediatric anesthesia and surgery have some characteristics, improper surgery is easy to relapse.