口内入路颌下腺切除及术中颌外动脉的处理  

Intraoral submandibular gland excision and how to deal with external maxillary artery

作　　者：潘朝斌[1] 黄洪章[1] 黄志权[1] 赵小朋[1] 张彬[1] 

机构地区：[1]中山大学附属第二医院口腔颅颌面外科中心,广州510120

出　　处：《中华耳鼻咽喉头颈外科杂志》2006年第7期514-516,共3页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

摘　　要：目的探讨口内入路颌下腺切除术在解剖上的可行性及手术安全性。方法对颌下腺与颌外动脉的关系进行文献复习,为口内入路的颌下腺切除术提供解剖学基础。行口内入路的颌下腺切除术10例,包括慢性颌下腺炎8例,颌下腺多形性腺瘤、颌下腺囊肿各1例。结果70％(7／10)患者的颌外动脉走行于颌下腺腺体表面,分出滋养支供血腺体。30％(3／10)患者的颌外动脉穿行于腺体中。10例口内入路的颌下腺切除术效果良好,手术时间平均为50 min,出血量平均为60 ml。10例患者未出现术中、术后大出血等并发症。结论颌下腺切除术中只要严格掌握适应证,妥善处理颌外动脉,对于颌下腺的炎症、囊肿和部分良性肿瘤而言,口内入路的颌下腺切除术安全可靠。Objective To investiage the feasibility and safety of intraoral submandibular gland excision. Methods Analyze the relationship between the external maxillary artery and submandibular gland,and offer a reliable anatomical base for 10 cases of intraoral submandibular gland excision, including 8 cases of chronic sialadenitis , 1 case of pleomorphic adenoma and 1 case of cyst of submandibular gland . Results The external maxillary artery went across the surface of gland submandibular, and its branches provided nutrition for the gland in most cases. The results of 10 cases intraoral submandibular gland excision were effective and satisfied, without major complications. The average time of operation was 50 minutes and the average hemorrhage of operation was 60 ml. Conclusion Intraoral submandibular gland excision is safe and feasible for chronic sialadenitis and cyst of submandibular gland and some of benign tumor submandibular gland as long as indications strictly controlled and the external maxillary artery well coped with.

关 键 词：颌下腺切除术 口内入路 颌外动脉 术中 解剖学基础 颌下腺囊肿 慢性颌下腺炎 手术安全性 多形性腺瘤 术后大出血 

分 类 号：R782.2[医药卫生—口腔医学]