内窥镜辅助经颌下小切口入路颌下腺切除术  

Submandibular gland excision through endoscope-assisted small incision

作　　者：李森[1] 张洪[1] 魏云[1] 沈亮[1] 钱江[1] 张茜蕾 

机构地区：[1]四川省达州市第二人民医院,四川达州635000

出　　处：《吉林医学》2012年第22期4728-4730,共3页Jilin Medical Journal

摘　　要：目的:为了改善传统开放颌下腺切除术后的美观效果,探讨内窥镜辅助颌下小切口颌下腺切除术的有效性、安全性和可行性。方法:回顾性分析30例内窥镜辅助经颌下小切口行颌下腺切除术患者的临床资料,术前诊断慢性颌下腺炎7例(4例含涎石),多形性腺瘤16例,颌下腺囊肿7例,所有病例术前经影像学、三维超声学评估。结果:所有患者均于内镜辅助下完全切除颌下腺和肿瘤,无一例中转开放手术,无手术并发症,术后美观效果好,患者满意度较高,多形性腺瘤患者术后随访时间4～36个月,未见复发。结论:内镜辅助经颌下小切口入路行颌下腺切除术安全可行,与传统开放手术相比,美容效果好,颌部切口瘢痕小,无面神经下颌缘支损伤风险。Objective To improve the beautiful effect of the traditional open resection of the submandibular gland,and to probe the ef- fectiveness, safety and feasibility of endoscope - assisted resection of submandibular gland incision. Method The clinical date of 30 cases of patients who had submandibular gland excision through endoscope - assisted small incision was analyzed retrospectively. Preoperative diag- nosis of chronic submandibular gland inflammation had 7 cases （4 cases with salivary st0ne） , pleomorphic adenoma had 16 cases, subman- dibtdar gland cyst had 7 cases. All cases were assessed by preoperative imaging,three -dimensional ultrasound study. Results All patients removed submandibular gland and tumor through endoscopic - assisted resection completely, with no conversion to open surgery, no surgical complications, aesthetic effect, and all patients were satisfied. Pleomorphie adenoma patients were followed up for 4 to 36 months, no recur- rence. Conclusion Endoscopic - assisted small incision through the line of submandibular submandibular gland resection is safe and feasi- ble ,compared with traditional open surgery, it has cosmetic results, jaw, small scar, no marginal mandibular branch of facial nerve injury risk.

关 键 词：颌下腺疾病 外科手术 内窥镜 

分 类 号：R782.2[医药卫生—口腔医学]