唾液腺内镜辅助下诊治腮腺导管结石的临床应用

doi:10.3969/j.issn.1005-4979.2016.03.006

《口腔颌面外科杂志》 ›› 2016, Vol. 26 ›› Issue (3): 182-186. doi: 10.3969/j.issn.1005-4979.2016.03.006

唾液腺内镜辅助下诊治腮腺导管结石的临床应用

陈婵，郑凌艳，俞创奇，谢李松，王知俊，石欢，曹宁宁

上海交通大学医学院附属第九人民医院·口腔医学院口腔颌面外科，上海市口腔医学重点实验室，上海 200011

收稿日期:2016-01-14 修回日期:2016-02-23 出版日期:2016-06-28 发布日期:2016-08-08
通讯作者: 郑凌艳，副主任医师. E-mail:zhenglingyan73@163.com
作者简介:陈婵（1991—），女，湖南韶山人，硕士研究生. E-mail: cctdcq@126.com
基金资助:
国家自然科学基金（81100766）；上海市卫生局基金（2014035）；上海市重点学科建设项目（S30206）；上海高校创新团队发展计划；上海交通大学医学院校基金（YZ1024）

Sialendoscopically Assisted Surgical Retrieval of Parotid Stones: a Preliminary Report

CHEN Chan, ZHENG Ling-yan, YU Chuang-qi, XIE Li-song, WANG Zhi-jun, SHI Huan, CAO Ning-ning

Department of Oral and Maxillofacial Surgery, Ninth People's Hospital, School of Medicine, Shanghai Jiaotong University， Shanghai Key Laboratory of Stomatology, Shanghai 200011, China

Received:2016-01-14 Revised:2016-02-23 Online:2016-06-28 Published:2016-08-08

摘要/Abstract

摘要： 目的：分析唾液腺内镜辅助下口内切口和口外切口联合诊治腮腺导管结石的有效性。方法：29例经超声和CT诊断为腮腺结石，并接受唾液腺内镜辅助保留腺体治疗的患者。根据结石的位置和性质选择单纯使用唾液腺内镜取石、唾液腺内镜辅助下的口内切口或唾液腺内镜辅助下的口外切口取石。结果：9人通过唾液腺内镜成功取石，15人在唾液腺内镜辅助下口内切口取石成功，另5人在唾液腺内镜辅助下口外切口取石成功。所有患者术后无并发症，腮腺功能均恢复到正常水平。结论：在缺乏碎石设备的情况下，唾液腺内镜辅助下口内和口外切口是治疗腮腺结石的有效方法，能够降低腮腺切除的比率。

关键词: , 腮腺导管结石, , , 唾液腺内镜, , , 口内切口, , , 口外切口

Abstract: Objective: To analyze the clinical value of sialendoscopy assisted surgical removal of parotid sialolithiasis.Methods: This retrospective study included 29 patients， who were diagnosed with parotid gland sialolithiasis by ultrasonography or CT, and required endoscopic-assisted gland preserving therapy. The use of interventional sialendoscopy, sialendoscopic-transoral, or sialendoscopic-transcutaneous procedures was determined by the size and location of the parotid gland stones. Results: The stones were retrieved by interventional sialendoscopy in nine patients. The transoral procedure was performed in 15 patients with large stones which were impacted in the ductal wall. The remaining five patients were managed through an external approach via a local skin incision under sialendoscopy. No postoperative complications occurred. The parotid glands functioned normally after the procedures. Conclusion: The combined sialendoscopic-transoral or sialendoscopic-transcutaneous operation appears to be a good alternative for the treatment of parotid gland sialolithiasis in the absence of lithotripsy devices. This type of therapy can decrease the rate of parotidectomy.

Key words: parotid gland sialolithiasis, sialendoscopy, transcutaneous, transoral

中图分类号:

R781.75

陈婵，郑凌艳，俞创奇，谢李松，王知俊，石欢，曹宁宁. 唾液腺内镜辅助下诊治腮腺导管结石的临床应用[J]. 《口腔颌面外科杂志》, 2016, 26(3): 182-186.

CHEN Chan, ZHENG Ling-yan, YU Chuang-qi, XIE Li-song, WANG Zhi-jun, SHI Huan, CAO Ning-ning. Sialendoscopically Assisted Surgical Retrieval of Parotid Stones: a Preliminary Report[J]. 《Journal of Oral and Maxillofacial Surgery》, 2016, 26(3): 182-186.

https://journal06.magtech.org.cn/Jweb_joms/CN/Y2016/V26/I3/182

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唾液腺内镜辅助下诊治腮腺导管结石的临床应用

Sialendoscopically Assisted Surgical Retrieval of Parotid Stones: a Preliminary Report

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