目的:口状舌管囊肿是临床上较为少见的疾病。本文对7例患者的诊治过程进行综述,结合以往文献报道,探讨口内甲状舌管囊肿的临床诊治特点。
方法:对2017年1月至2024年1月大连市中心医院耳鼻咽喉科收治的7例口内甲状舌管囊肿进行回顾性分析。这些病例是按性别记录的,年龄,症状,身体体征,放射学检查,手术方法,术后并发症。所有病例均得到随访,并记录最新的随访结果。
结果:在7例中,6例患者在手术前接受了喉镜和放射学检查,1名儿童在手术中被发现有囊肿。所有病例均诊断为口内甲状舌管囊肿,并采用等离子射频手术治疗。患者均无术后并发症,出院后6个月随访未见复发。
结论:口状甲状舌管囊肿临床少见。临床上重视其鉴别诊断,手术前需要仔细检查图像。低温等离子射频冷冻消融术不仅创伤小,恢复快,而且并发症少,复发率低。是一种安全有效的治疗方法,值得临床推广。
方法:第3级。
OBJECTIVE: Intraoral thyroglossal duct cyst is a relatively rare clinical disease. This article reviews the diagnosis and treatment process of 7 patients and explores the clinical characteristics of diagnosis and treatment of intraoral thyroglossal duct cyst in combination with past literature
reports.
METHODS: A retrospective analysis was conducted on 7 cases of intraoral thyroglossal duct cyst admitted to the Otolaryngology ward of Dalian Municipal Central Hospital from January 2017 to January 2024. The cases were recorded in terms of gender, age, symptoms, physical signs, radiological examinations, surgical methods, and postoperative complications. All cases were followed up, and the latest follow-up results were recorded.
RESULTS: Among the 7 cases, 6 patients underwent laryngoscopic and radiological examinations before surgery, and 1 child was found to have a cyst during surgery. All cases were diagnosed with intraoral thyroglossal duct cyst and treated with plasma radiofrequency surgery. None of the patients had postoperative complications, and no recurrence was found in the six-month follow-up after discharge.
CONCLUSIONS: Intraoral thyroglossal duct cyst is rare in clinical practice. It is important to pay attention to its differential diagnosis clinically, and careful review of images is required before surgery. Cryoablation with low-temperature plasma radiofrequency is not only minimally invasive and has a quick recovery but also has few complications and a low recurrence rate. It is a safe and effective treatment method that is worthy of clinical promotion.
METHODS: Level 3.