不同手术方式治疗舌下腺囊肿118例临床观察  

Clinical Observation of Different Surgical Methods in Treatment of 118 Patients with Sublingual Gland Cysts

作　　者：杨燕飞[1] 孙良丰[1] 刘伟[1] 杨介平[1] 

机构地区：[1]内江市第一人民医院口腔科,四川内江641000

出　　处：《解放军医药杂志》2016年第7期70-73,共4页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的探讨舌下腺囊肿(sublingual gland cyst,SGC)不同手术方式的治疗效果。方法回顾性分析2010年4月—2014年2月接受手术治疗的SGC 118例的临床资料。其中口内入路93例,袋形缝合术5例,颌下入路15例,口内联合颌下入路5例。将手术切除组织行病理学检查,观察不同术式临床疗效、并发症及随访2年复发情况。结果所有患者舌下腺组织与囊壁均可见慢性炎症表现。口内入路、袋形缝合术、颌下入路和口内联合颌下入路治疗SGC总有效率分别为94.6%、60.0%、86.7%和100.0%,并发症发生率分别为29.0%、40.0%、20.0%和40.0%。口内入路和口内联合颌下入路治疗者术后2年复发率低。结论单纯型、口外型舌下腺囊肿采用口内入路与口内联合颌下入路手术,疗效均较高,并发症发生率及复发率均低。Objective To investigate effects of different surgical methods in treatment of patients, with sublin-gual gland cysts （SGC）. Methods Clinical data of 118 SGC patients who underwent surgical treatment during April 2010 and February 2014, was retrospectively analyzed. Among the 118 patients, 93 patients underwent intraoral approach surgery, 5 patients underwent marsupialization, 15 patients underwent submandibular approach surgery and 5 patients un-derwent intraoral combined with submandibular approach surgery. Pathological examination was performed for removed tissues. Clinical effects, complications and recurrence during follow-up of 2 years were observed. Results Chronic in-flammation was found in sublingual gland tissues and capsule walls. Total effective rates of intraoral approach, marsupial-ization, submandibular approach surgery and intraoral combined with submandibular approach surgery in treatment of SGC patients were 94. 6%, 60. 0%, 86. 7% and 100. 0% respectively, and incidence rates of complications were 29. 0%, 40. 0%, 20. 0% and 40. 0% respectively. Recurrence rates of patients undergoing intraoral approach and intraoral com-bined with submandibular approach surgeries in postoperative 2 years were low. Conclusion Intraoral approach and in-traoral approach combined with submandibular approach surgery in treatment of simple and extraoral type sublingual gland cysts have good curative effects, low recurrence rate and incidence rate of complications.

关 键 词：舌下囊肿 口腔外科手术 治疗结果 复发 

分 类 号：R781.57[医药卫生—口腔医学]