唾液腺ECT和涎腺镜对慢性阻塞性腮腺炎的诊断和治疗作用  

The role of ECT and endoscope in the diagnosis and treatment of chronic obstructive parotitis

作　　者：薛雷[1] 周青[1] 

机构地区：[1]中国医科大学附属口腔医院口腔颌面外科,辽宁省口腔医学研究所,辽宁沈阳110001

出　　处：《中国口腔颌面外科杂志》2013年第6期487-490,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的:讨论唾液腺ECT和涎腺镜在慢性阻塞性腮腺炎诊断和治疗中的作用。方法:44例患者经过唾液腺造影和ECT检查,根据结果,采用庆大霉素灌洗和碘化油注射导管扩张或施行内镜辅助下结石取出术。结果:经过ECT和内镜检查,发现患者腮腺的分泌功能良好而排泌功能异常。主导管表现为管腔狭窄,管壁充血,管腔内有大量絮状增生物及黏液栓子,管壁可见息肉样增生,导管内可见结石。治疗后患者症状明显改善。结论:ECT和内镜为慢性阻塞性腮腺炎的诊断提供了强有力的证据,并且对阻塞性腮腺炎的治疗具有一定指导作用。PURPOSE： To investigate the role ol EIL＇I＇ and endoscope m the dlagnosis and treatment of cnromc obstructive parotitis （COP）. METHODS： Forty-four patients underwent with sialography and emission computed tomography （ECT）. After examinations, Gentamycin lavage and iodinate oil injection duct expansion or stone removal surgery were conducted with the aid of endoscope. RESULTS： ECT and endoscope showed the secretion function of parotid gland was good but the examination was abnormal and the main duct had the following changes： stricture and hyperemia, mucus plug, polyps or stone. The patients＇ symptoms improved significantly after endoscope-assisted treatment. CONCLUSION： ECT and endoscope can provide strong evidences for diagnosing COP and help to conduct different treatment for COP.

关 键 词：慢性阻塞性腮腺炎 内镜 ECT 

分 类 号：R781.7[医药卫生—口腔医学]