甲状舌管疾病：表现和结果。
Thyroglossal duct diseases: presentation and outcomes.
机构信息
Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq.
Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq.
出版信息
J Int Med Res. 2023 Feb;51(2):3000605231154392. doi: 10.1177/03000605231154392.
OBJECTIVE
The incidence of thyroglossal duct diseases in the general population is about 7%. We aimed to demonstrate the clinical presentations and management of thyroglossal duct diseases.
METHODS
We conducted a retrospective review of all patients who underwent surgery for histopathologically confirmed thyroglossal duct cyst, sinus, or fistula at a single center.
RESULTS
A total of 151 cases were included in this study. There were more female patients (87, 58%) than male patients (64, 42%). The patients' ages ranged from 1 to 63 years old. The most prevalent complaint was painless upper midline neck swelling (93.3%). Most cases were diagnosed as thyroglossal duct cysts (137, 90.7%). Six cases (4%) were associated with carcinoma. All the cases were managed using the modified Sistrunk procedure. There were no procedure-related complications, and five cases of recurrence.
CONCLUSIONS
Although thyroglossal duct cyst is the most common neck anomaly in children, it may also present with various characteristics later in life. This condition can be managed successfully without complications and with a low recurrence rate.
目的
甲状腺舌管疾病在普通人群中的发病率约为 7%。我们旨在展示甲状腺舌管疾病的临床表现和治疗方法。
方法
我们对在单一中心接受手术治疗并经组织病理学证实为甲状腺舌管囊肿、窦道或瘘管的所有患者进行了回顾性分析。
结果
本研究共纳入 151 例患者。女性患者（87 例，58%）多于男性患者（64 例，42%）。患者年龄 1 至 63 岁。最常见的主诉是无痛性中上颈肿胀（93.3%）。大多数病例诊断为甲状腺舌管囊肿（137 例，90.7%）。6 例（4%）与癌相关。所有病例均采用改良 Sistrunk 手术治疗。无手术相关并发症，复发 5 例。
结论
尽管甲状腺舌管囊肿是儿童最常见的颈部异常，但在以后的生活中也可能表现出各种特征。这种情况可以成功治疗，无并发症且复发率低。
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