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目的 :探讨甲状舌管囊肿的超声诊断价值与治疗。方法 :对 1 993年 4月至 2 0 0 1年 1 2月我院收治的 69例甲状舌管囊肿临床资料进行分析和总结。结果 :69例甲状舌管囊肿患者中发病年龄在 1 0岁以下儿童者 39例 (56.52 % ) ,1 1～ 2 0岁和 2 1～ 30岁者各 8例 ,31岁以上者 1 4例 (2 0 .2 9% )。超声影像显示囊内液性暗区清晰者 40例 ,欠清晰者 1 6例 ,混浊者 1 1例 ,2例舌根和口底的肿物为暗淡光点。与舌骨的关系 ,在舌骨上方者 1 7例 ,舌骨水平者 1 6例 ,舌骨下方 36例 ,其中 56例肿物与舌骨粘连或贴近。超声诊断准确率为 94.2 0 %。本组病例均采取手术切除并经病理证实。囊肿反复感染、病程长及复发病例增加了手术难度。结论 :超声检查有助于了解囊肿及瘘管的位置、大小、数目及与舌骨、甲状腺等周围组织的关系 ,明确这些关系对于治疗有较大意义。囊肿的治疗以早期彻底切除为佳
Objective: To investigate the diagnostic value and treatment of thyroglossal cyst. Methods: From April 1993 to January 2001, 69 cases of thyroglossal cyst in our hospital were analyzed and summarized. Results: Among the 69 patients with thyroglobuliocyst, 39 (56.52%) were children with onset of disease under the age of 10, 8 in each of 11 to 20 years of age and 21 to 30 years of age, and 14 (2.09%). Ultrasound images showed 40 cases with clear intracapsular fluid dark area, 16 cases with unclear area, 11 cases with opacity and 2 cases with dark spots on the base of tongue and mouth. The relationship between the hyoid bone, the hyoid bone in the top of 17 cases, hyoid level 16 cases, 36 cases below the hyoid bone, of which 56 cases of tumor adhesion and close to the hyoid bone. The accuracy of ultrasonic diagnosis was 94.2%. The patients were taken by surgical resection and confirmed by pathology. Repeated cyst infection, longer duration and recurrence of cases increased the difficulty of surgery. Conclusion: Ultrasonography can help to understand the location, size and number of cysts and fistulas and their relationship with the surrounding tissues such as the hyoid bone and thyroid gland. It is of great significance to clarify these relations for the treatment. Treatment of cysts with early complete removal is better