Ducic Y, Chou S, Drkulec J, Ouellette H, Lamothe A
Department of Otolaryngology, University of Texas South-Western Medical Center, Dallas, USA.
Int J Pediatr Otorhinolaryngol. 1998 Jun 1;44(1):47-50. doi: 10.1016/s0165-5876(98)00041-x.
To analyze, in detail, the clinical and pathological findings in a patient population that had undergone previous Sistrunk procedures for the removal of thyroglossal duct cysts, in order to identify any possible factors that could be related to recurrence after 'definitive' surgery.
A large pediatric tertiary care center.
A retrospective chart review was performed to include all patients treated at a single center for thyroglossal duct cysts with a Sistrunk procedure, between 1978 and 1992 inclusive.
A total of 108 consecutive patients were analyzed. We noted that the presence of recent preoperative infection of the cyst was the only statistically significant (P < 0.05) clinical difference noted between the successful and the unsuccessful surgical groups. However, pathological analysis revealed that there was a substantially greater number of multiple thyroglossal duct tracts (P < 0.05) noted in the group that failed a Sistrunk procedure.
We feel that multiple thyroglossal tracts may play an etiologic role in some recurrent cysts. Thus, a wide conservative excision, including the middle two thirds of the hyoid bone, is necessary in order to include any multiple tracts in the resection.
详细分析曾接受过西斯特伦克手术以切除甲状舌管囊肿的患者群体的临床和病理结果，以确定任何可能与“根治性”手术后复发相关的因素。
一家大型儿科三级护理中心。
进行回顾性病历审查，纳入1978年至1992年（含）期间在单一中心接受西斯特伦克手术治疗甲状舌管囊肿的所有患者。
共分析了108例连续患者。我们注意到，囊肿近期术前感染的存在是成功手术组与失败手术组之间唯一具有统计学意义（P < 0.05）的临床差异。然而，病理分析显示，西斯特伦克手术失败组中甲状舌管多通道的数量明显更多（P < 0.05）。
我们认为甲状舌管多通道可能在一些复发性囊肿中起病因学作用。因此，为了在切除术中包括任何多通道，进行广泛的保守切除，包括舌骨的中间三分之二是必要的。
