内镜辅助面部小切口腮腺导管结石取出术的临床应用  

Sialoendoscopy-assisted minimally-invasive transfacial surgery for the removal of stones in deep Stensen's duct

作　　者：祁森荣[1] 王学玖[1] 陈仁吉[1] 张凯宇[1] 王飘[1] 金赫秀 马晓辉[1] 

机构地区：[1]首都医科大学口腔医学院口腔颌面整形创伤外科,北京100050

出　　处：《北京口腔医学》2018年第1期41-43,共3页Beijing Journal of Stomatology

基　　金：北京市自然科学基金(7152067)

摘　　要：目的探讨唾液腺内窥镜辅助下经面部小切口手术取腮腺导管深部结石的治疗方法。方法 2014~2015年期间共诊治6例腮腺导管结石患者,结石均位于咬肌前缘后方的腮腺导管。手术过程为全麻下手术,先用涎腺内窥镜探及腮腺导管结石,以内窥镜灯光作为引导在面部相应位置行皮肤小切口,分离显露结石部位的腮腺导管,同时保护面神经;切开导管取出结石,重建导管。结果所有患者腮腺导管术后均恢复畅通,复诊半年无腮腺导管阻塞症状出现。结论唾液腺内窥镜辅助经面部小切口取石术为治疗腮腺导管深部结石提供了较好的治疗方案。Objective To investigate the clinical application of the minimally-invasive surgery using small skin incision assisted by sialoendoscopy for the removal of the parotid gland stone. Methods A total of 6 cases with stones in the parotid ducts behind the anterior edge of masseter muscle were treated. The operation was performed under general anesthesia, a small skin incision was made just above the stone in the parotid duct located by the sialoendoscopy. Dissection was carried out carefully to reach the parotid duct avoiding to injure the facial nerve at the same time. The parotid duct Was cut and the stones were totally removed. The parotid duct was sutured with a tube placed inside to prevent stenosis. ReSults The parotid ducts of all the cases resumed to be unobstructed immediately after the surgery, and were not obstructed again in half a year follow up. Conclusion This paradigm is highly recommended in the treatment of parotid gland sailolithiasis with the stones in the deep parotid duct.

关 键 词：涎石病 腮腺结石 唾液腺内窥镜 

分 类 号：R781.7[医药卫生—口腔医学]