腮腺导管损伤的诊断与治疗  

The diagnosis and treatment of trauma to parotid duct

作　　者：王恒琨[1] 巩艳玲 王仁欣[1] 郑晓涛[1] 张文峰[3] 

机构地区：[1]威海市立医院口腔颌面外科,264200 [2]威海市妇女儿量医院口腔科 [3]武汉大学口腔医学院口腔颌面外科

出　　处：《中国临床实用医学》2010年第12期96-98,共3页China Clinical Practical Medicine

摘　　要：目的回顾性研究分析17例腮腺导管损伤患者的临床资料。方法对17例腮腺导管损伤患者的性别、年龄、致伤原因、部位、临床表现、辅助检查、治疗方法、预后等进行统计分析。结果腮腺导管患者中男性多于女性，好发于20～29岁，其中以嚼肌区居多，致伤原因以刀砍伤最为常见。涎腺造影检查可以明确损伤的部位及损伤程度。腮腺导管损伤一般采用导管吻合术可以达到治疗之目的。结论腮腺导管损伤通过及时的诊断与正确的治疗，可以较好的恢复腮腺的功能。Objective To study the diagnosis and treatment of trauma to parotid duct. Methods The clinical data of 17 patients were retrospectively reviewed. The patients＇ records were reviewed for gender, ages, mechanism of injury, location, clinical symptoms, assistant examination, therapy and prognosis. Results A- mong 17 case of trauma to parotid duct, the male patients were more than female （ M ： F = 3.25 ： 1 ） ; there was an age prediction for 20-29（ represented 58.82% of the total cases） ; the most location of the trauma were in duct over masseter muscle; the injuries were usually caused by knives. Sialography can be used to diagnosed parotid duct injuries. Anastomosis of parotid duct can achieve good prognosis. Conclusion It may be possible to restore the function of parotid gland by timely diagnosis and proper treatment of trauma to parotid duct.

关 键 词：腮腺 腮腺导管 损伤 涎腺造影 

分 类 号：R739.8[医药卫生—肿瘤]