Fang Cheng,Dong Chenbin,Li Jun,et al.Analysis of clinical characteristics of craniofacial non-midline dermoid cyst: a report of 109 children[J].Journal of Clinical Pediatric Surgery,2022,21(06):567-570.[doi:10.3760/cma.j.cn101785-202007037-013]
颅面非中线皮样囊肿109例临床特点及诊治分析
- Title:
- Analysis of clinical characteristics of craniofacial non-midline dermoid cyst: a report of 109 children
- Keywords:
- Dermoid Cyst/DI; Dermoid Cyst/SU; Face/PA; Skull/PA; Bones/PA
- 摘要:
- 目的 总结颅面非中线皮样囊肿的临床特点及诊治经验。方法 以2016年1月至2019年12月在复旦大学附属儿科医院整形外科行手术治疗的109例颅面非中线皮样囊肿患儿为研究对象，按骨质改变情况分为骨质改变组与骨质未改变组，对两组患儿性别、发现症状时年龄、手术年龄、囊肿位置、囊肿活动度及囊肿大小进行分析。结果 骨质改变组发现症状时年龄为（0.64±0.21）岁，而骨质未改变组为（1.39±2.19）岁，差异有统计学意义（t=2.871，P=0.005）；囊肿活动度差者合并骨质改变的发生率为43.6%（17/39），囊肿活动度好者合并骨质改变的发生率为10.0%（7/70），差异有统计学意义（χ2=16.458，P<0.001）；骨质改变组与骨质未改变组在性别、囊肿位置、手术年龄以及囊肿大小上比较，差异无统计学意义（P>0.05）。结论 颅面非中线皮样囊肿患儿体格检查囊肿活动度差，高度提示存在骨质改变，推荐术前行CT或MRI检查以了解肿物与骨质情况；术中注意探查囊肿底部，完整切除肿物。
- Abstract:
- Objective To summarize the clinical characteristics and management strategies of craniofacial non-midline dermoid cyst.Methods From January 2016 to December 2019, 109 surgical children of craniofacial non-midline dermoid cysts were divided into two groups of bone change and bone non-change according to the degree of bone alteration.Analyses were performed for such factors as gender, onset age, surgical age, cyst location, cyst mobility and cyst size, etc.Results Onset age was (0.64±0.21) years in bone change group and (1.39±2.19) years in bone non-change group.And the difference was statistically significant (t=2.871, P=0.005).The incidence of cysts with poor mobility plus bone changes was 43.6% (17/39) while the incidence of cysts with good mobility plus bone change 10.0%(7/70).And the difference was statistically significant (χ2=16.458, P<0.001).Gender, cyst location, operative age or cyst size had no effect on the occurrence of craniofacial non-midline dermoid cysts with bone changes (P>0.05).Conclusion During physical examinations, poor mobility of craniofacial non-midline dermoid cyst is highly suggestive of bone changes.Computed tomography or magnetic resonance imaging is recommended preoperatively for grasping the conditions of tumor and bone.During operation, surgeons should pay close attention to a complete resection of tumor, especially bottom exploration.
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备注/Memo
收稿日期:2021-07-16。
通讯作者:董晨彬,Email:dcb426@163.com