22例腮腺导管损伤手术治疗疗效分析  

Clinical analysis of 22 cases with parotid gland duct injury

作　　者：蒋勇联 杨沛蕾 刘国元 

机构地区：[1]浙江省青田县人民医院口腔科,浙江青田323900

出　　处：《上海口腔医学》2011年第4期442-444,共3页Shanghai Journal of Stomatology

摘　　要：目的:探讨腮腺导管损伤的早期诊断及手术治疗方法。方法:利用硬膜外麻醉导管做支架,修复损伤的腮腺导管;如导管因缺损无法端端吻合,选用面前静脉移植术和腮腺嚼肌筋膜瓣再造术。结果:本组22例患者1例失访,随访的21例中,19例腮腺导管通畅,腮腺分泌功能正常;2例腮腺腺体萎缩,无分泌功能。结论:腮腺导管损伤的早诊断有利于手术治疗,支架支撑修复损伤的腮腺导管效果良好。PURPOSE： To discuss the early diagnosis and treatment of injury to the parotid duct.METHODS： Segmental epidural catheter was used to repair the injured parotid duct,if the broken ends of the parotid duct can＇t be anastomized end to end,facial vein transplantation and fascia parotideomasseterica flap were used for reconstruction.RESULTS： In 22 cases,one case was lost to follow-up,nineteen cases had successful reconstruction of the parotid duct with good parotid secretions.Two cases had atrophy of the parotid gland.CONCLUSIONS： Early diagnosis is critical for treatment of injury of parotid duct.The efficacy of segmental epidural catheter is excellent for repair of parotid duct defect.

关 键 词：腮腺导管 损伤 支架支撑 

分 类 号：R782.2[医药卫生—口腔医学]