潜突型舌下腺囊肿的诊断和治疗探讨  

General Diagnosis and Therapeutic Principle of Plunge Ranula

作　　者：黄志权[1] 梁军[2] 范松[1] 潘朝斌[1] 

机构地区：[1]中山大学附属第二医院口腔颌面外科,广东广州510120 [2]中山大学附属第五医院口腔颌面外科

出　　处：《广东牙病防治》2010年第9期486-488,共3页Journal of Dental Prevention and Treatment

摘　　要：目的探讨潜突型舌下腺囊肿的临床表现、诊断方法及治疗原则。方法回顾15例接受手术治疗的潜突型舌下腺囊肿患者的临床资料,分析其诊断方法、治疗特点、手术并发症及术后复发情况。结果 15例患者均有颌下区肿胀,其中13例患者曾于外院就诊,仅2例在外院诊断为潜突型舌下腺囊肿,误诊率达84.6%,9例经院外误诊误治后复发。所有患者经术前CT及彩色超声检查诊断为舌下腺囊肿,术前穿刺均抽吸出淡黄色黏稠囊液,均经口内手术摘除舌下腺,术后随访未见囊肿复发。结论潜突型舌下腺囊肿因其特殊的临床表现,常导致临床误诊误治。术前CT、彩色超声检查和局部穿刺是有效的辅助检查手段。完整摘除舌下腺并辅以颌下区囊肿抽吸后持续加压包扎是治疗潜突型舌下腺囊肿的有效方法。Objective To investigate the clinical manifestation, diagnosis feature and therapeutic principle of plunge ranula. Methods Fifteen cases with plung ranulae after operation were collected. The disease histories were collected and analyzed the diagnostic method and operation feature, payed return visits the complication and palindromia after operations. Results All patients in the 15 cases had submaxillary swelling, 13 cases were diagnosed in another place, only 2 cases were diagnosed correctly, misdiagnosis rate was 84.6%, 9 cases recur by misdiagnosis and mistreatment, and all cases were examined by CT and sonography, so concluded to the final correct diagnosis ＂sublingual gland cyst＂, the fluid of cyst nyxis was amber ropiness preoperative, after extirpation sublingual gland, there were no palindromia. Conclusion Plunge ranula was usually misdiagnosis and mistreatment because of distinct clinical situation, preoperative CT, sonography and nyxis were valid auxiliary examination devices, the complete resection of sublingual gland and continuous pressure given to ranula from submandible after extraction of mucus are effective therapymethods.

关 键 词：潜突型舌下腺囊肿 诊断 治疗 

分 类 号：R782.7[医药卫生—口腔医学]