Marianowski R, Ait Amer J L, Morisseau-Durand M-P, Manach Y, Rassi S
Department of Otorhinolaryngology, CHU Morvan, 5 avenue Foch, 29200 Brest, France.
Int J Pediatr Otorhinolaryngol. 2003 Jan;67(1):19-23. doi: 10.1016/s0165-5876(02)00287-2.
To evaluate recurrence after surgery for thyroglossal duct cyst (TDC) we performed a retrospective chart review. Seventy four patients between 0.5 and 8.5 years of age presenting with a midline neck cyst underwent a Sistrunk procedure for a preoperative diagnosis of TDC. Fifty-seven had histologically confirmed TDC (mean age of the population: 4+/-1.5 years, mean follow-up: 6 years and 8 months). Recurrence occurred in 15% of the cases of histologically confirmed TDC. Four individual risk factors have been identified: number of infection before surgery [more than 2 episodes (P<0.05)]; preliminary surgical procedure (P<0.05); age [less than 2 years (P<0.05)] and multicystic lesion on histopathology (P<0.01). The two first factors being correlated, the risk of relapse might be lowered by a wide excision performed before any infection in children over 2 years.
为评估甲状舌管囊肿（TDC）手术后的复发情况，我们进行了一项回顾性病历审查。74例年龄在0.5至8.5岁之间、表现为颈部中线囊肿的患者接受了Sistrunk手术，术前诊断为TDC。57例经组织学确诊为TDC（总体平均年龄：4±1.5岁，平均随访时间：6年8个月）。组织学确诊的TDC病例中15%出现复发。已确定四个个体危险因素：手术前感染次数[超过2次发作（P<0.05）]；初步手术操作（P<0.05）；年龄[小于2岁（P<0.05）]和组织病理学上的多囊性病变（P<0.01）。前两个因素相互关联，对于2岁以上儿童，在任何感染之前进行广泛切除可能会降低复发风险。
