【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。更多还原

【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.更多还原