采用双内镜微创治疗下颌下腺深部结石

发布时间：2018-06-09 02:27

本文选题：涎腺内镜 + 涎石病　；参考：《华西口腔医学杂志》2016年02期

【摘要】：目的评价涎腺内镜配合常规30°角腔镜在下颌下腺深部结石中的临床应用。方法选择2013年6月—2015年8月因单侧颌下区反复肿胀就诊患者17例,术前经下颌骨CT和唾液腺功能显像检查,诊断为下颌下腺深部结石。17例患者男性13例,女性4例,左侧12例,右侧5例;均应用涎腺内镜辅助常规30°角腔镜行口内取石术。结果下颌骨CT显示17例患者均有下颌下腺深部阳性结石,唾液腺功能检查显示患侧摄锝功能基本正常,而排泌功能明显下降。17例患者均采用双内镜辅助手术方法成功通过口内取出结石,手术时间(42±21)min,围手术期无明显并发症。结论双内镜辅助下行下颌下腺深部结石取出手术是一种有应用前景的新技术,可以避免因早期深部结石造成的腺体切除,但目前仍需严格选择适应证。
[Abstract]:Objective to evaluate the clinical application of salivary gland endoscopy and 30 掳angle endoscopy in submandibular gland stone. Methods from June 2013 to August 2015, 17 patients with recurrent swelling of unilateral submandibular region were selected. Ct and salivary gland function imaging were performed before operation. 13 cases were male and 4 cases were female. 12 cases on the left side and 5 cases on the right side were treated by salivary gland endoscopy with 30 掳angle endoscopy. Results 17 cases of mandibular CT showed positive stones in the deep part of the submandibular gland, and the function of salivary gland showed that the function of technetium uptake in the affected side was basically normal. However, the excretion function of 17 patients was obviously decreased. 17 patients were treated with double endoscope assisted surgery successfully to remove the calculi through the mouth. The operative time was 42 卤21 minutes, and there were no obvious complications during the perioperative period. Conclusion double endoscopy assisted removal of deep submandibular stones is a promising new technique, which can avoid glandular excision caused by early deep stones, but it is still necessary to select indications strictly.
【作者单位】：浙江大学医学院附属邵逸夫医院头颈外科;
【分类号】：R782.7

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