摘要
目的:探讨甲状腺后鳃裂瘘管及囊肿的临床特点和诊治方法。方法:报告4例甲状腺后鳃裂瘘管及囊肿患者资料,结合文献进行回顾性分析。结果:4例患者鳃裂瘘管及囊肿均与甲状腺组织粘连重,解剖标志不清,2例术前喉返神经功能受累,术中均保留喉返神经,术后甲状腺和甲状旁腺功能正常,随访未见复发。结论:甲状腺后鳃裂瘘管及囊肿少见,容易误诊误治,手术完整切除是有效的方法,术中保护喉返神经非常必要。
Objective:To investigate the clinical feature,diagnostic and therapeutic methods of ultimobranchial fistula and cyst of thyroid. Method:Four cases of ultimobranchial fistula and cyst of thyroid in our hospital were re- ported and the relevant literatures were reviewed. Result:The branchial fistula and cyst of four cases were adhered to thyroid, with unclear anatomical landmarks, the function of recurrent laryngeal nerve were bad before the opera- tion in two cases. The nerve of four cases were retained, the function of thyriod and parathyroid gland were nor- mal and no recurrence were found. Conclusion:Ultimobranchial fistula and cyst of thyroid is rare and is easier to be misdiagnosed and wrong treated. Surgical excision is effective for it and recurrent laryngeal nerve should be protec- ted when performing the operation.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2014年第23期1845-1847,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
鳃裂瘘管
鳃裂囊肿
手术
branchial cleft cyst
branchial cleft cyst
surgery