唾液腺内镜联合口内黏膜切开治疗颌下腺导管后部结石  

Sialendoscopy combined with intraoral mucosal incision for the treatment of posterior submandibular gland duct stones

作　　者：李金[1] 陈巨峰[1] 刘士维 李嘉朋[1] LI Jin;CHEN Jufeng;LIU Shiwei;LI Jiapeng(Department of Stomatology, the First People's Hospital of Foshan,528000, China)

机构地区：[1]中山大学附属佛山市第一人民医院口腔科

出　　处：《实用口腔医学杂志》2019年第5期733-736,共4页Journal of Practical Stomatology

基　　金：佛山市医学类科技攻关项目(编号:2018AB003171)

摘　　要：目的:探讨唾液腺内镜联合口内黏膜切开治疗颌下腺导管后部结石的可行性。方法:对10例颌下腺导管后部结石,在唾液腺内镜引导定位下,在结石表面的口底黏膜上切开,找到结石后,切开导管取石,接着再应用唾液腺内镜探查冲洗导管,术后放置支架,观察术后并发症发生情况及治疗效果。结果:10例患者均成功取出结石。术后1例出现舌头麻木,2个月后逐渐恢复正常。随访3个月~2年,均没有再出现进食后颌下区肿胀。除一例导管口未见明显唾液分泌外,其他病例导管有分泌清亮液体。结论:在唾液腺内镜辅助下,经口底黏膜切开结合术后放置支架治疗颌下腺导管后部结石效果良好,并发症少。Objective: To explore the feasibility of sialendoscopy combined with intraoral mucosal incision for the treatment of posterior submandibular duct stones. Methods: Under the guidance of sialendoscopy the posterior submandibular gland duct stones were removed by intraoral mucosal incision. Then the sialendoscopy was used to explore and flush the duct. A stent was placed in the duct after operation. The complications and treatment effects were observed. Results: The stones were removed successfully in all 10 cases. In one case, the tongue became numb, and gradually returned to normal after 2 months. During 3 months to 2 years following up, no swelling in the submandibular area was observed after meal. All case had saliva secretion more or less, except one had no obvious saliva secretion. Conclusion: Sialendoscopy combined with intraoral mucosal incision for the treatment of posterior submandibular duct stones is feasible with few complications.

关 键 词：唾液腺内镜 颌下腺导管 导管结石 

分 类 号：R782.7[医药卫生—口腔医学]