以硬膜外导管为支架行腮腺导管吻合术及术后腺体功能评价  

Parotid duct anastomosis with an epidural catheter as a stent and evaluation of postoperative gland function

作　　者：葛良玉[1] 季莉 陈霖 李志萍[1] 顾倩平[1] 孟箭[1] 张静[1] GE Liangyu;JI Li;CHEN Lin;LI Zhiping;GU Qianping;MENG Jian;ZHANG Jing(Department of Stomatolo-gy,Xuzhou Central Hospital,Xuzhou 221000,China;Xuzhou Hospital of Traditional Chinese Medicine,Xuzhou 221000,China;Xuzhou Medical University,Xuzhou 221000,China)

机构地区：[1]徐州市中心医院口腔科,江苏徐州221000 [2]徐州市中医院,江苏徐州221000 [3]徐州医科大学,江苏徐州221000

出　　处：《口腔疾病防治》2023年第4期257-260,共4页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：国家自然科学基金项目(31700814);国家口腔疾病临床医学研究中心临床研究项目(NCRCO⁃202101);江苏省卫生计生委科研资助项目(H2017080);徐州市医学创新(技术攻关)团队(XWCX201604);徐州市科技局重点研发项目(ZYSB20210230)。

摘　　要：目的探讨硬膜外导管在腮腺导管吻合术中应用的可行性及对腺体功能的影响。方法选择2019年1月至2021年6月就诊于徐州市中心医院口腔颌面外科并采用硬膜外导管为支架进行腮腺导管吻合的13例患者,评价术后2周腮腺区有无肿胀、涎瘘及导管通畅情况,采用^(99m)TcO_(4)-单光子发射计算机断层扫描(single photon emission computed tomography,SPECT)进行唾液腺分泌功能定量检测。结果术后2周拔除硬膜外导管,13例患者患侧腮腺区均无肿胀及涎瘘,导管分泌通畅;术后3个月患侧腮腺与健侧腮腺摄取率无显著差异(t=-0.859,P=0.399),患侧腮腺与健侧腮腺排泄率无显著差异(t=0.693,P=0.495),患侧腮腺分泌功能良好。结论以硬膜外导管做支架的腮腺导管吻合术具有良好的可行性,术后腮腺分泌功能恢复良好,值得临床推广应用。Objective To investigate the feasibility of epidural catheters in parotid gland duct anastomosis and the function of the affected side gland after parotid gland duct anastomosis.Methods Thirteen patients who were treated in the Department of Oral and Maxillofacial Surgery of Xuzhou Central Hospital using an epidural catheter as the scaf⁃fold for parotid gland catheter anastomosis were enrolled from Jan.2019 to June 2021.The swelling,salivary fistula and catheter patency in the parotid gland area were evaluated two weeks after the operation.^(99m)TcO_(4)-single photon emission computed tomography(SPECT)was used for quantitative detection of salivary gland secretion function.Results Thir⁃teen patients had no swelling or salivary fistula in the parotid gland area of the affected side two weeks after the opera⁃tion,and the catheter secretion was unobstructed.There was no significant difference in the uptake rate between the pa⁃rotid gland on the affected side and the parotid gland on the healthy side(t=-0.859,P=0.399),and there was no sig⁃nificant difference in the excretion rate between the parotid gland on the affected side and the parotid gland on the healthy side(t=0.693,P=0.495).The parotid gland excretion function of the affected side was excellent three months after the operation.Conclusion Parotid duct anastomosis with an epidural catheter as the stent has good feasibility,and parotid gland secretion function recovers well after the operation,which is worthy of clinical application.

关 键 词：唾液腺损伤 腮腺导管瘘 硬膜外导管 腮腺导管吻合术 支架 涎瘘 肿胀 分泌功能 单光子发射计算机断层扫描 

分 类 号：R78[医药卫生—口腔医学]