颌下腺部分切除术后腺体外分泌功能的临床研究  

Study of the Secretory Function of the Reserved Partial Submandibular Gland after Submandibular Gland Partial Resection

作　　者：李芳凝[1] 白文忠[2] 邓芳成[3] 刘滨伟[4] 刘博伟[5] 

机构地区：[1]秦皇岛市第一医院口腔科,河北秦皇岛066000 [2]秦皇岛市第一医院耳鼻咽喉科 [3]海南医学院口腔医学院 [4]秦皇岛市第一医院普外一科 [5]秦皇岛市第一医院内分泌科

出　　处：《广东牙病防治》2011年第7期377-379,共3页Journal of Dental Prevention and Treatment

摘　　要：目的研究颌下腺部分切除术后颌下腺外分泌功能的改变。方法 52例颌下腺良性肿瘤患者,随机分为A、B两组,A组患者行颌下腺肿瘤和瘤周腺体区域性切除术,即颌下腺部分切除术;B组患者行肿瘤和颌下腺腺体全切除术,即常规颌下腺良性肿瘤手术。术前及术后1周、2周、1个月及半年,分别检测2组患者5 min内舌下区平均静息唾液分泌量,并进行对照分析。结果术前2组患者5 min内舌下区平均静息唾液分泌量基本相等;术后1周、2周、1个月及半年,5 min内舌下区平均静息唾液分泌量A组明显高于B组,A组患者5 min内舌下区平均静息唾液分泌量于术后1周、2周、1个月及半年的顺序递增,术后半年唾液分泌量比术前稍有减少,而B组患者术后唾液分泌量约为术前一半。结论颌下腺部分切除术充分保留了颌下腺的外分泌功能,保留的颌下腺组织外分泌功能随时间的推移逐步恢复。Objective To observe secretory function of the reserved partial submandibular gland after submandibular gland partial resection.Methods Fifty-two cases with submandibular gland benign tumor were divided into two groups averagely and randomly.Group A accepts the resection of the tumour and partial submandibular gland surrounding the tumor（submandibular gland partial resection）.Group B did the routine resection of the tumour and submandibular gland.The average resting saliva secretion in the sublingual area was detected within 5 minutes before surgery and at the 1st week,the 2nd week,the 1st month and the 6th month after surgery in the two groups,then compared and analysed between the two groups.Results The average resting saliva secretion in the sublingual area within 5 minutes before surgery in the two groups were basically identical.The average resting saliva secretion in the sublingual area within 5 minutes at the 1st week,the 2nd week,the 1st month and the 6th month after surgery in the group A was obviously higher than that of the group B.The average resting saliva secretion of the group A in the sublingual area within 5 minutes was increasing following the order of the 1st week,the 2nd week,the 1st month and the 6th month after surgery.The saliva secretion at the 6th month after surgery of the group A showed only a slight decrease compared with preoperation.The saliva secretion after surgery of the group B was the half of the preoperation.Conclusion Submandibular gland partial resection reserves exocrine function of submandibular gland to the full.The exocrine function of the reserved submandibular gland gradually recovers over time.Thus the study proves the feasibility of the submandibular gland partial resection furtherly.

关 键 词：颌下腺 唾液分泌量 颌下腺手术 

分 类 号：R782.7[医药卫生—口腔医学]