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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >The imperative of the Sistrunk operation: review of 160 thyroglossal tract remnant operations.
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The imperative of the Sistrunk operation: review of 160 thyroglossal tract remnant operations.

机译:Sistrunk手术势在必行:回顾160例甲状腺舌道残余手术。

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摘要

OBJECTIVE: Analysis of the pre- and postoperative features, long-term follow-up, and complications. STUDY DESIGN AND METHODS: Case series with chart review of 160 thyroglossal tract remnant excisions over a 20-year period (1988-2007). RESULTS: The mean age of diagnosis was 10.9 +/- 14.2 years with 63.8 percent male predominance. There was a prior history of thyroglossal tract remnant infections in 70 percent of patients, and 30 percent presented with cutaneous fistulas. The majority had ultrasound imaging that identified cysts mainly (66.7%) in the infrahyoid region. Preoperative fine-needle aspirations in 18 patients were benign. On pathological reevaluation, 26.5 percent had thyroid tissue inside the remnant, with one case of papillary carcinoma. After the Sistrunk operation, postoperative complications occurred in 7.5 percent including a 1.9 percent recurrence rate. CONCLUSIONS: All age groups had similar clinical presentations and outcomes. Ultrasound is a reliable and appropriate imaging modality for most patients. Surgery must effectively incorporate the tract and cyst to allow low recurrence rates (<2%). Clinically diagnosed thyroglossal tract remnant may, in fact, be other pathologies in 10 percent of cases. Nevertheless, our recommendation is a Sistrunk procedure for all midline neck lesions suspected to be a thyroglossal tract remnant.
机译:目的:分析术前和术后特征,长期随访和并发症。研究设计和方法:病例系列,在20年期间(1988-2007年)对160例甲状腺舌管残余切除术进行了图表审查。结果:平均诊断年龄为10.9 +/- 14.2岁,男性占63.8%。有70%的患者有甲状旁腺残余感染的既往史,而30%的患者有皮肤瘘管。多数患者进行了超声检查,发现囊肿主要在舌下区域(66.7%)。 18例患者术前细针穿刺良性。根据病理学重新评估,残余物中有26.5%的甲状腺组织,其中1例为乳头状癌。 Sistrunk手术后,术后并发症发生率为7.5%,包括1.9%的复发率。结论:所有年龄组的临床表现和结果相似。对于大多数患者而言,超声波是一种可靠且合适的成像方式。手术必须有效地合并尿道和囊肿,以降低复发率(<2%)。实际上,在10%的病例中,临床诊断的甲状腺舌道残余可能是其他病理。尽管如此,我们建议对所有怀疑是甲状腺舌道残留的中线颈部病变进行Sistrunk手术。

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