43例儿童复发性腮腺炎碘化油灌注疗效观察  

A retrospective study of Lipiodol irrigation in patients of juvenile recurrent parotitis

作　　者：郭玉娇 赵阳阳 李明哲 陈卓 于国霞[1] GUO Yujiao;ZHAO Yangyang;LI Mingzhe;CHEN Zhuo;YU Guoxia(Department of Stomatology,Beijing Children's Hospital,Capital Medical University,National Center for Children's Health,Beijing 100045)

机构地区：[1]首都医科大学附属北京儿童医院,100045

出　　处：《现代口腔医学杂志》2024年第5期331-334,共4页Journal of Modern Stomatology

基　　金：国家重点研发计划(2016YFC1000804)。

摘　　要：目的本研究拟结合临床表现、腮腺B超及腮腺造影表现对儿童复发性腮腺炎进行分类,分析碘化油腮腺导管灌注治疗儿童复发性腮腺炎的疗效。方法对43例儿童复发性腮腺炎患儿进行临床检查、B超检查及碘化油灌注治疗,分析总结其临床特点,比较分析造影片与B超声像图,对儿童复发性腮腺炎进行轻、中、重度分类,随访12-48个月,对比分析治疗前后患儿腮腺炎发作次数及症状。结果43例儿童复发性腮腺炎患儿行1-5次灌注治疗。初次碘化油灌注造影后,29名患儿未再行灌注,3名患儿行1次灌注,4名患儿行2次灌注,4名患儿行3次灌注,另有1名患儿行4次灌注治疗。最后一次治疗后12个月内腮腺炎未再发作17例(39.5%),发作1次17例(39.5%),发作2次5例(11.6%),较治疗前加重有2例(4.7%),失访2例(4.7%)。不同程度儿童复发性腮腺炎,碘化油灌注后显效率不一致,轻度、中度、重度者显效率分别为83.3%,50.0%,34.8%。结论碘化油灌注对儿童复发性腮腺炎具有重要诊疗价值,推荐在病情较轻的合适时机早期进行治疗,能够取得较好的效果,病情越重,治疗效果越差。Objective To elaborate on the classification of Juvenile recurrent parotitis(JRP)based upon clinical manifestation,ultrasonic and sialographic appearances,and to evaluate the effect of Lipiodol irrigation.Methods Fortythree patients with JRP underwent ultrasonic examination and Lipiodol sialographic inspection/irrigation procedures.The clinical characteristic of JRP was summarized,severity of illness was classified,and the effect of Lipiodol irrigation was analyzed.All patients were followed up periodically after treatment.Results Forty-three patients with JRP underwent 1-5 times of Lipiodol irrigations.During the 12 months follow-up after last irrigation,17patients(39.5%)went well without recurrence,17 patients(39.5%)recurred once,5 patients(11.6%)suffered recurrence for twice,while another 2 patients(4.7%)felt worse,2 patients lost to follow-up(4.7%).JRP can be classified as mild,moderate,and severe lesion with different effective rate of 83.3%,50.0%,and 34.8%separatly.Conclusion Lipiodol irrigation is valuable for the diagnosis and treatment of JRP.Early treatment is more effective when the lesion is mild.

关 键 词：儿童复发性腮腺炎 碘化油灌注 腮腺造影 治疗 

分 类 号：R782.3[医药卫生—口腔医学]