治疗甲状腺膜通道异常的结果
Akshaya Rajan1, S M Azeem Mohiyuddin1, Sagayaraj A1
1Otorhinolaryngology & Head and Neck Surgery, Sri Devaraj Urs Medical College, Kolar, IND.
Cureus
|June 23, 2023
概括
甲状腺沟管异常,最常见的中线部胀,是有效地通过Sistrunk手术治疗. 这项研究在46名患者中没有发现复发,这突显了该程序在管理这些先天性疾病方面的成功.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 遗传异常是一种先天性异常.
背景情况:
- 甲状腺囊管异常是常见的先天性中线部胀,通常呈现为甲状腺囊.
- 感染或手术违规可能导致甲状腺膜或囊形成.
- 诊断包括成像 (超声波,CT/MRI) 和细针吸收细胞学 (FNAC).
研究的目的:
- 评估甲状腺沟管异常的临床表现和治疗结果.
- 评估Sistrunk手术对这些疾病的疗效和复发率.
主要方法:
- 从一个农村的三级医疗医院 (1995-2021) 的46个患者记录的回顾性分析.
- 评估包括临床病史,表现,异常位置和甲状腺功能测试.
- 所有患者都接受了Sistrunk手术,并对标本进行了他的病理学检查.
主要成果:
- 该研究包括46名患者 (52.2%为女性),平均年龄为20.6岁.
- 甲状腺囊是最常见的 (71.7%),其次是 (10.9%). 甲状腺下部是最常见的囊位置 (73.9%).
- 44名患者进行了胸部外科手术;3名患者出现并发症 (喉腔皮质,伤口脱光),所有患者都进行了保守的治疗. 没有观察到任何复发.
结论:
- 甲状腺沟管异常是普遍存在的先天性宫异常.
- 完整的Sistrunk手术,包括舌骨和舌头组织的基础,产生最佳的结果.
- 该研究表明,复发率为零,支持Sistrunk手术作为黄金标准治疗.
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