Hofer S O, Klaase J M
Academisch Ziekenhuis, afd. Chirurgic, Groningen.
Ned Tijdschr Geneeskd. 1998 Jan 17;142(3):105-8.
The thyroglossal cyst is a wellknown cause of a swelling in the neck. The generally accepted technique of treatment was described in 1928, but many recurrences are still seen in daily clinical practice. The radical technique of removal of cysts and sinuses of the thyroglossal duct according to Sistrunk is the method of choice. Over an 8-year period 40 cases were treated in this fashion in the University Hospital Groningen, the Netherlands, with an average follow-up of 5 years and 3 months; in 29 it was the first operation. Only 1 patient of the 23 treated according to Sistrunk had a recurrence for which he had to be treated again. Six patients were treated otherwise; 3 of them had a recurrence. It is concluded that the first surgery (according to Sistrunk), if correctly performed, offers the best chance for cure.
甲状舌管囊肿是颈部肿胀的一个常见原因。1928年描述了普遍接受的治疗技术，但在日常临床实践中仍可见到许多复发情况。根据西斯特伦克（Sistrunk）方法彻底切除甲状舌管囊肿和窦是首选方法。在荷兰格罗宁根大学医院，8年期间以这种方式治疗了40例患者，平均随访5年零3个月；其中29例是首次手术。按照西斯特伦克方法治疗的23例患者中只有1例复发，为此不得不再次治疗。另外6例患者采用了其他治疗方法；其中3例复发。得出的结论是，如果手术操作正确，首次手术（按照西斯特伦克方法）提供了最佳的治愈机会。
