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内镜辅助下治疗慢性阻塞性腮腺炎的疗效评价

Assessment of Therapeutic Effect of Chronic Obstructive Parotitis under Sialoendoscopy.

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【作者】 郑凌艳俞创奇杨驰沈宁张军恽白

【Author】 ZHENG Ling-yan,YU Chuang-qi,YANG Chi,et al.Department of Oral and Maxillofacial Surgery,the Ninth People’s Hospital,Shanghai 200011

【机构】 上海第二医科大学附属第九人民医院口腔颌面外科上海第二医科大学附属第九人民医院口腔颌面外科 上海200011上海200011

【摘要】 目的:在涎腺内镜辅助下对慢性阻塞性腮腺炎进行病因诊断,根据病变情况进行相应的治疗并通过长期随访评价疗效。方法:应用内镜对52例(57侧)慢性阻塞性腮腺炎患者的导管进行观察,了解其导管壁和导管内变化,以明确发病原因。对内镜下非结石性病因进行导管扩张术、氯霉素灌洗、碘化油灌注,对结石性病因则进行钳夹取石术、套石篮取石术和液电震波碎石术。并在术后进行随访,随访时以腮腺肿胀的数据化测定为判断依据,评价近期和远期疗效。结果:52例中有48例患者成功进行了53侧腮腺导管的内镜检查和治疗。并在术后进行了随访,随访期为1个月至3年,平均17月。近期满意率为98%,远期满意率为56%。结论:内镜能直接了解慢性阻塞性腮腺炎的内在病因,并可同时进行相应的治疗。

【Abstract】 Objective: The purpose of this study was to describe the use of sialoendscopy for diagnosis and treatment of chronic obstructive parotitis.Methods: 52 patients(57 glands) with obstructive symptoms were detected under sialoendoscopy,and the inner lesions of the obstructive duct were explored.When the obstruction was not caused by sialolith,0.25% Chloramphenicol was used to lavage the duct firstly,then 40% Iodized oil was perfused into duct.When the obstruction was caused by sialolith,stone was removed using a grasper,basket or electrohydraulic lithotripsy.After operarions,all patients were followed up.VAS(visual analogue scales)of swelling was the criterion to estimate short-term and long-term effect.Results: The orifices of ducts of 4 patients were too small to insert the sialoendoscopy; other 48 patients(53 glands) can be explored under sialoendoscopy.The followup periods arrange from 1 month to 3 years,average 17 months.The satisfaction rate of short-term was 98%,while satisfaction rate of long-term was 56%.Conclusion: Sialondoscopy is a new technique for evaluating salivary duct diseases and the minimal invasive method to treat chronic obstructive of parotits.

【基金】 上海市重点学科(优势学科)建设项目资助(编号:Y0203);上海第二医科大学附属第九人民医院基金
  • 【文献出处】 口腔医学研究 ,Journal of Oral Science Research , 编辑部邮箱 ,2006年04期
  • 【分类号】R781.72
  • 【被引频次】11
  • 【下载频次】130
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