涎腺内镜治疗涎石病的回顾分析  

Endoscopic management of sialolithiasis （ a practical experience in 52 cases ）

作　　者：柳登高[1] 张祖燕[1] 张雷[2] 张晔[2] 宋小侠[1] 俞光岩[1] 

机构地区：[1]北京大学口腔医学院·口腔医院放射科,100081 [2]北京大学口腔医学院·口腔医院口腔颌面外科,100081

出　　处：《中华口腔医学杂志》2008年第4期248-249,共2页Chinese Journal of Stomatology

摘　　要：目的分析涎腺内镜在涎石病的诊断与治疗中的临床价值。方法对52例（43例颌下腺、9例腮腺）涎石病行内镜探查及取石术。结果34例颌下腺导管前段和（或）后段结石中，24例在内镜下直接取石；2例经手术及内镜取石；8例手术取石。8例颌下腺导管腺门处结石在内镜辅助下手术取石。9例腮腺结石中3例以抓篮取石；3例直接切开导管口取石；1例以抓篮套锁后于颊部切开取石。取石成功的49例随访1个月～2年无复发。结论涎腺内镜可提高涎石病的诊断敏感性，且多数结石可在内镜辅助下取出。Objective To investigate the value of endoscopy in the diagnosis and treatment of sialolithiasis. Methods Diagnostic and interventional sialoendoscopic procedures were performed in 52 patients with sialolithiasis （43 submandibular glands and 9 parotid glands）. Results Of the 34 sialoliths in the anterior and/or posterior part of the Wharton＇s duct, 24 were removed with basket retrieval; 2 removed with open surgery and basket retrieval, and 8 removed with open surgery under the guidance of endoscopy. Eight sialoliths in the hilum of the Wharton＇s duct were treated with open surgery. Of the 9 stone cases in the Stensen＇s duct, 3 was removed with basket retrieval, 3 was removed after opening-up of the ostium, 1 was treated with basket capturing and open surgery. The obstructive symptoms were improved in these cases during 1-24 months＇ follow-up. Conclusions Sialoendoscopy is a minimal invasive and efficacious technique for the diagnosis and treatment of sialolithiasis.

关 键 词：涎腺结石 内窥镜检查 颌下腺 腮腺 

分 类 号：R686[医药卫生—骨科学]