舌下腺囊肿145例临床病例分析  

The Ranulas:report of 145 cases

作　　者：张兴[1] 孟箭[1] 司亚萌[1] 张爱侠[1] 郑浩[1] 孟庆飞[1] 

机构地区：[1]东南大学附属徐州中心医院口腔颌面外科,江苏徐州221000

出　　处：《口腔颌面外科杂志》2010年第2期121-123,共3页Journal of Oral and Maxillofacial Surgery

摘　　要：目的:对舌下腺囊肿临床病理资料进行回顾性分析,评价手术方式与疗效的关系。方法:术前行穿刺、超声等检查,在全麻或局麻下经口内进路、颌下进路或口内联合颌下进路行舌下腺及囊肿摘除术,术后标本进行组织病理观察。结果:87例穿刺液淀粉酶检查阳性76例,88例单纯型舌下腺囊肿经口内行舌下腺及囊肿摘除术均无复发;18例哑铃型舌下腺囊肿经口内或颌下联合口内进路行舌下腺及囊肿摘除术,术后无复发;32例口外型舌下腺囊肿分别经口内、颌下进路及颌下联合口内进路行舌下腺及囊肿摘除术,其复发率分别为0、50%、0。病理切片镜下观察,143例中82例(57.3%)囊肿有纤维囊壁,但只有4例有部分上皮衬里。结论:舌下腺囊肿的囊壁无上皮衬里,完整摘除舌下腺是治愈的关键。Objective： To evaluate the relationship between therapeutic effects and operation methods of ranulas. Methods： 145 ranulas were diagnosed by puncture and ultrasound B examination before management. Treatment methods consisted of internal or external surgical approach under general or local anesthesia. Specimens were underwent pathological exanfination. Results： Among 87 cases check-up by puncture, 76 cases were positive staining for amylase. Of 88 oral ranulas treated with excision of the sublingual gland and ranula through transoral approach, no recurrence were observed. 18 patients with oral and external swelling were treated by excision of the sublingual gland, and no recurrence occurred postoperatively. Among 32 plunging ranulas, 14 cases were treated through transoral approach with no recurrence, 12 cases through cervical approach with 6 cases recurred, and 4 cases through combined transoral and cervical approach with no case recurred. Among 143 ranulas, 82 （57.3%） had cystic walls, only 4 had partial epithelial lining. Conclusion： Ranulas have no epithelial linning. The key to a successful management for ranulas is the excision of related sublingual gland.

关 键 词：舌下腺囊肿 诊断 舌下腺及囊肿摘除术 

分 类 号：R781.7[医药卫生—口腔医学]