涎腺内镜对慢性阻塞性涎腺炎的诊治价值  

The value of endoscopy for the diagnosis and treatment of obstructive salivary gland diseases

作　　者：程勇[1] 龙星[1] 李小丹[2] 边专[2] 

机构地区：[1]武汉大学口腔医学院口腔颌面外科,430079 [2]武汉大学口腔医学院口腔生物医学工程教育部重点实验室,430079

出　　处：《中华口腔医学杂志》2005年第2期131-133,共3页Chinese Journal of Stomatology

摘　　要：目的评价涎腺内镜对慢性阻塞性涎腺炎的诊治价值.方法选择自2003年1月至6月到武汉大学口腔医学院涎腺专科门诊因涎腺区反复肿胀就诊的患者 25例(34侧)行涎腺内镜术.其中腮腺19例27侧,颌下腺6例7侧;女性16例,男性9例;年龄17～77岁,平均年龄43.72岁.22例术前拍摄涎腺造影片,3例颌下腺结石病例术前加拍下颌横断咬合片.结果常规X线检查显示:颌下腺导管阳性结石3例;慢性阻塞性涎腺炎22例.X线片显示:腮腺、颌下腺主导管及部分分支导管不均匀增粗.涎腺内镜检查显示:①导管内有不同程度的纤维样物质,呈絮状、片状附着管壁;②导管存在程度不一的狭窄;③导管壁片状充血,部分可见点状、斑点状出血;④黏液栓、脓栓;⑤导管内腔变形呈不规则状,管壁向外突起形成憩室;⑥阳性、阴性结石.涎腺内镜术后,涎腺区肿胀、不适、疼痛感明显减轻,未发现明显并发症.结论涎腺内镜技术是一种安全、有效、微创的介入学方法.对慢性阻塞性涎腺炎的诊治具有重要价值.Objective To evaluate the value of sialoendoscopy in the diagnosis and treatment of chronic obstructive sialadenitis(COS).Methods 25 patients (34 sides) who complained of recurrent swelling in the salivary gland region were selected for study from Jan. 2003 to Jun. 2003 at the Department of salivary gland diseases, School of Stomatology, Wuhan University, including 19 parotid cases (27 sides) and 6 submandibular gland cases (7 sides); 16 females and 9 males. And their age range was 17 77 years, with an average of 43 72 years. Before sialoendoscopy, 22 parotid cases underwent sialography, and 3 submandibular gland sialoliths cases received an additional standard mandibular occlusal film examination.Results Conventional radiographs revealed that 3 cases had submandibular gland radiopaque stones, and 22 had COS. Dilatation of main duct of parotid and submandibular gland were also found in the radiographs. Sialoendoscopy showed:proliferative fibrous materials in the duct; stenosis or dilatation of duct; vasodilatation, erythema on the wall of the duct; mucoid plugs and pyogenic plugs; irregular lumen shape; radiopaque and radiolucent stones.Conclusions Sialoendoscopy may be a safe, effective, and minimal invasive method in the diagnosis and treatment of COS.

关 键 词：涎腺内镜 慢性阻塞性涎腺炎 治疗 诊断 

分 类 号：R781.7[医药卫生—口腔医学]