超声对颌下腺导管结石的临床应用价值  

Application of Ultrasound in the Examination and Treatment of Acute Submandibular Adenitis and Submandibular Gland Duct Stones

作　　者：刘继延[1] 赵文峰[1] 邱麟[1] 王淑梅[2] 李亚静[1] 

机构地区：[1]解放军北京军区总医院口腔科,北京市100700 [2]解放军北京军区总医院体检中心,北京市100700

出　　处：《中国超声医学杂志》2014年第4期289-291,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨超声在颌下腺导管结石检查治疗中的应用。方法对49例颌下腺肿大或伴疼痛的患者行超声检查,并对颌下腺导管进行分区,通过超声确定结石的位置和腺体的炎症情况,利用手术和内镜方式取石,与超声诊断结果进行对照。结果发现颌下腺导管结石40例,结石的检出率由导管前段向后段依次增多,分别是40%(16例),52.5%(21例),但分支导管内结石检出率较低仅为7.5%(3例),此外取石结果与超声诊断相符。结论颌下腺导管结石好发于导管后段,分支导管结石较少见,且超声诊断颌下腺导管结石的准确性高,在确定结石位置数量、观察导管扩张及颌下腺感染程度均有重要作用,可作为涎石病诊断及手术治疗提供重要依据。Objective To analyze the effectiveness of ultrasound in the examination and treatment of acute sub- mandibular adenitis and submandibular gland duct stones. Methods 49 patients with submandibular gland duct en- largement or pain were determined the location of stones by ultrasound, and treated with surgical and endoscopic ap- proach. The results were compared with ultrasound examination. Results 9 cases of acute submandibular adenitis and 40 cases of submandibular gland duct stones were identified. The detection rate of stone was increase by turns from the anterior segment to posterior segment in catheter, 40~ （16 cases） and 52.5% （21 cases） respectively. However, the detection rate of stone of the branch was 7.5 ~ （3 cases）, which was lower than the anterior segment to posterior seg- ment in catheter. Other results were consistent with ultrasonography approach. Conclusions The submandibular gland duct stones often occur in the posterior segment in catheter and rare occur in the branch. Ultrasonography has higher application value in diagnosis of submandibular gland diseases, which was one of the most important causes of diagnosis in ptyalolithiasis.

关 键 词：超声检查 颌下腺 导管结石 

分 类 号：R445.1[医药卫生—影像医学与核医学] R781.75[医药卫生—诊断学]