Tetteroo G W, Snellen J P, Knegt P, Jeekel J
Department of Surgery, University Hospital Dijkzigt Rotterdam, The Netherlands.
Br J Surg. 1988 Apr;75(4):382-3. doi: 10.1002/bjs.1800750429.
Median cervical cysts are congenital anomalies arising from remaining thyroglossal duct epithelium. A major problem in the surgical treatment of these cysts is the high frequency of recurrence. Embryonic considerations indicate an important causal role for the hyoid bone in these recurrences. We studied the relationship between operative techniques and the number of recurrences in 36 patients treated in our hospital. Fourteen patients sent from other hospitals had a recurrent fistula; in thirteen cases the hyoid bone was still in place. All patients who had the central part of the hyoid bone excised were cured. In 14 patients without adequate excisions of the hyoid bone we found four recurrences. To prevent recurrence a total excision of thyroglossal duct epithelium is necessary.
颈部正中囊肿是由残余甲状舌管上皮引起的先天性异常。这些囊肿手术治疗中的一个主要问题是复发频率高。胚胎学研究表明舌骨在这些复发中起重要的因果作用。我们研究了我院治疗的36例患者的手术技术与复发次数之间的关系。从其他医院转来的14例患者有复发性瘘管；其中13例舌骨仍在原位。所有切除舌骨中部的患者均治愈。在14例未充分切除舌骨的患者中，我们发现4例复发。为防止复发，有必要彻底切除甲状舌管上皮。
