复发性甲状舌管囊肿(瘘管)的原因探讨和预防措施

目的：探讨甲状舌管囊肿（瘘管）术后复发的原因和提高手术疗效的措施。方法：对３２例甲状舌管囊肿（瘘管）病例（含８例术后复发者），术前感染病例先行抗炎后再手术，准确判定甲状舌管囊肿与舌骨的关系，处理舌骨；术中衔注美蓝液入囊管内示踪，行Ｓｉｓｔｒｕｋ术式，分离小分支，以手术显微下失去示踪小支，手指接触诊疑为残存病灶处，行环形缝扎或电凝，射频等处理。结果：３２例均获成功，随访１年以上未见复发。结论：对甲状

Thyroglossal duct cyst(Fistula) operation and recurrence prophylasis

Objective:To explore what leads to recurrent thyroglossal duct cyst (TGDC) following operation and how to improve the operation efficiency. Method:32 patients with TGDC (including 8 recurrent cases) were performed operation for the second time.The cases who had infective signs received anti inflammative treatment prior to operation.Judge the relationship between thyroglossal duct cyst and hyoid bone before managing hyoid bone. The methylene blue was injected into TGDC for following up. Resect the small branches according to Sistruk procedure under the operation microscope.The residue underwent marsupiatization,electrocoagulation or radio freguency according to finger palpation.Result:32 cases were successful with the operation and did not show any signs of recurrence after one year following up. Conclusion:The recurrence of TDGC may be perfectly prevented as long as comprehensional treatment is carefully performed during the operation.