内镜辅助诊断慢性阻塞性腮腺炎的临床应用  

THE CLINIC STUDY OF ENDOSCOPIC TECHNIQUE FOR THE DIAGNOSIS OF THE CHRONIC OBSTRUCTIVE PAROTITIS

作　　者：沈宁[1] 俞创奇[1] 杨驰[1] 胡北平[1] 郑凌艳[1] 丁永敏[1] 

机构地区：[1]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

出　　处：《口腔颌面外科杂志》2004年第2期136-138,共3页Journal of Oral and Maxillofacial Surgery

摘　　要：目的　通过涎腺内镜技术了解慢性阻塞性腮腺炎导管内在表现和阻塞原因。方法　应用涎腺内镜对 18例慢性阻塞性腮腺炎患者的导管进行观察 ,了解导管壁和导管内变化 ,以明确导管阻塞发病原因。结果　 18例慢性阻塞性腮腺炎患者的内镜下导管内壁变化显示 ,引起腮腺导管阻塞的内在表现主要有以下几种 :导管炎 (表现为导管内壁充血 ) 1例 ;导管炎伴脓栓 (或粘液栓子 )形成 3例 ;导管炎伴炎性增生 13例 ;导管炎伴结石 (结石常粘附在导管壁 ) 2例。结论　慢性阻塞性腮腺炎的导管阻塞原因以导管内壁增生、局部狭窄为主 ,涎腺内镜能直接观察慢性阻塞性腮腺炎导管内的阻塞原因 ,并可同时进行相应治疗 。Objective To detect the etiology of the chronic obstructive parotitis, A newly and hi tech sialoendoscopy which make it possible to observe the inner feature of the duct of parotid directly was used as a creative means. Methods 18 patients presented with obstructive symptoms were detected and the inner lesions of the obstructive duct were explored under sialoendoscopy to compare with X ray sialography. Results Under endoscope, The stenosis etiology were classified into sialodochitis, pus(mucus) embolism, polyps and sialolith according to the degree of pathology. The sialoendoscopic diagnosis include 1 sialodochitis, 3 pus (mucus) embolism, 13 polyps and 2 sialoliths. Conclusion The stenosis and proliferation produced by the parotid duct inflammatory diseases are the main features of COP. The sialoendoscopy is demonstrated as a direct and minimal invasive method for the diagnosis and treatment of COP.

关 键 词：内镜辅助诊断 慢性阻塞性腮腺炎 COP 炎性病变 导管炎 

分 类 号：R781.72[医药卫生—口腔医学]