| ObjectiveAccording to the clinical data of the 121 cases of thyroglossal duct cyst surgery,to study the gender difference and the trend of the age in thyroglossal duct cyst patients,and the differences of the recurrence after initial Sistrunk surgery in preoperative infected and uninfected patients,and the related factors of recurrence and the subsequent method of recurrence,and the application of endoscopic coblation cauterization in the lingual thyroglossal duct cyst.DataThe clinical data of 109 cases of typical congenital thyroglossal duct cysts in the First Affiliated Hospital of Zhengzhou University between January 2012 and December 2013 and the clinical data of 12 cases of tongue thyroglossal duct cyst in the first affiliated hospital Zhengzhou University from January 2012 to December 2017 are analyzed retrospectively.109 cases of typical thyroglossal duct cyst consist of 63 males and 46 females.The male-female ratio is 1.47:1,the age ranges from 50 days to 71 years,and the age is younger than 10 in 62 cases,and the age is older than 10 in 47 cases.In 12 cases of lingual thyroglossal duct cysts,there are 9 males and 3 females.The male to female ratio is 3:1,and the age ranges from 3 to 55 years old,with an average age of 30.17.Analysis of the data was performed by statistical software SPSS 19.0.When P<0.05 was set,the difference was statistically significant with the Fisher exact method.Result82 cases had no recurrence after the initial Sistrunk.And 17 cases had lost contact after the initial Sistrunk.And 5 cases had recurrence after the initial Sistrunk(They received the secondary Sistrunk and had no recurrence.The follow-up time is 10.2 mouths.).And 1 patient who had received the Sistrunk in the other hospital had the secondary Sistrunk and had no recurrence.And 3 cases had the simple cystectomy: 2 cases did not relapse,1 case had recurrence.And 1 case received the incision and drainage and had no recurrence in the 109 patientsFor the 12 cases of lingual thyroglossal duct cysts: 1 patient underwent the cervical resection of the tongue base and the epiglottic cyst sand and had no recurrence in 18 months after surgery of follow-up.And 4 cases did not relapse,and 3 cases were lost,and 2 cases did not receive the treatment after relapse,and 1 case had recurrence,and 1 case had recurrence two times in the 11 patients who underwent the endoscopic coblation cauterization for the first time.In this study,the incidence of males is higher than that of females(72/121(59.5%)> 49/121(40.5));In this study,the incidence is mostly in the 0-10 year old age group;In this study,according to the statistical analysis of the difference in posto perative recurrence between the three departments,there is not statistically sign ificant(P>0.05).conclusion(1)For the masses in neck,especially the masses are near the midline of the neck in the childhood and move up and down with the swallowing movement,thyroglossal duct cysts should be the first consideration.(2)The incidence of thyroglossal duct cysts in men is higher than that in women.(3)For the examination of TGDC,ultrasound is is cost-effective,easy to operate,and has no side effects.It should be the first choice.Preoperative CT and MRI can further display the extant,nature of the cyst,and the relationship with the surrounding anatomy.They are helpful to the diagnosis and operation.(4)After the diagnosis of the disease,Sistrunk surgery is the preferred surgical treatment for the exogenous thyroglossal duct cysts.For the recurrent thyroglossal duct cysts,repeated Sistrunk surgery can still be effective,and the expand Sistrunk surgery should not be conducted in the first recurrence.(5)For the lingual thyroglossal duct cysts,especially in childhood,endoscopic coblation cauterization is the first choice.For recurrent cysts,endoscopic coblation cauterization therapy can be performed again.However,Sistrunk surgery may be considered for the repeatedly recurrent lingual thyroglossal duct cysts. |
PDF Full Text Request