36例成人甲状舌管囊肿外科诊治分析

目的分析成人甲状舌管囊肿临床特点及外科治疗方法。方法回顾性分析36例成人甲状舌管囊肿临床表现及外科治疗方法。结果36例均接受Sistrunk手术治疗并治愈，术后1例并发切口感染，2例复发（复发率5．6％），复发患者经再次手术治疗后痊愈。结论应充分认识甲状舌管囊肿的病因和病理解剖特点，将手术的重点放在处理舌骨及其以上的病变部位，手术切除的彻底与否，决定了复发与否。

Surgical treatment of thyroglossal duct cyst in 36 adults

Objective To analyze clinical features and surgical treatment of thyroglossal duct cyst (TDC) in adult patients.Methods Clinical data of 36 adult patients with TDC were analyzed retrospectively.Results All the 36 patients received surgical resection of Sistrunk's procedure.One case suffered wound infection after the operation.Two cases recurred(recurrence rate:5.6％)but cured after the 2nd operation and showed no sign of recurrence during the follow up of 18 and 26 months respectively.No other complications were reported.Conclusions Etiological factors,pathological and anatomical features need to be analyzed.Surgical treatment should focus on hyoid bone and the upper area.The recurrence rate depends on total resection of cyst.