论文部分内容阅读
目的探讨小儿甲状舌管残留畸形的临床诊治方法及减少术后复发的措施。方法回顾性分析徐州医学院附属医院2010年1月至2012年12月收治的50例小儿甲状舌管残留畸形患儿的临床资料、手术治疗及术后疗效。所有患儿均行手术治疗,其中在全身麻醉下行Sistrunk术治疗48例,行扩大切除术2例。结果本研究患儿在全身麻醉下手术,术后切口一期愈合,无手术并发症,手术标本均经病理学确诊,未发现恶变;随访0.5~2年均无一例复发。结论完善术前检查,充分认知甲状舌管残留畸形的解剖学特点,正确的术前诊断,选择合适的手术时机,规范的Sistrunk术式和良好的手术技巧才能保障彻底切除甲状舌管残留畸形,这是预防和降低术后复发的关键。
Objective To investigate the clinical diagnosis and treatment of residual thyroglobilles deformity in children and the measures to reduce postoperative recurrence. Methods The clinical data, surgical treatment and postoperative effects of 50 cases of children with residual thyrotoxic deformity in children admitted from January 2010 to December 2012 in Xuzhou Medical College Affiliated Hospital were retrospectively analyzed. All children underwent surgical treatment, including Sistrunk under general anesthesia in the treatment of 48 cases, 2 cases underwent expansive resection. Results In this study, children underwent surgery under general anesthesia. The wounds were healed one time after surgery and no complications were found. Surgical specimens were confirmed by pathology and no malignant transformation was found. No recurrence was observed at 0.5 to 2 years follow-up. Conclusion To improve the preoperative examination, to fully understand the anatomical characteristics of thyroid residual deformity, correct preoperative diagnosis, select the appropriate timing of surgery, standardized Sistrunk operation and good surgical skills to ensure the complete removal of thyroid tongue residual deformity , Which is the key to prevent and reduce postoperative recurrence.