涎腺内窥镜辅助经口切除颌下腺较大结石的临床疗效  

Clinical efficacy of salivary gland endoscopy assisted oral resection for larger submandibular gland stones

作　　者：裴飞 付曼 林楠 赵媛[1] PEI Fei;FU Man;LIN Nan;ZHAO Yuan(Department of Oral and Maxillofacial Surgery,Zhengzhou Central Hospital,Zhengzhou 450006,China;Department of Stomatology,Zhengzhou Central Hospital,Zhengzhou 450006,China)

机构地区：[1]郑州市中心医院口腔颌面外科,郑州450006 [2]郑州市中心医院口腔科,郑州450006

出　　处：《医药论坛杂志》2024年第18期1971-1974,共4页Journal of Medical Forum

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20220871)。

摘　　要：目的观察涎腺内窥镜辅助经口切除>7 mm的颌下腺结石的临床疗效和安全性。方法回顾性分析2020年4月至2022年4月郑州市中心医院诊治的颌下腺结石>7 mm的患者,分为涎腺内窥镜辅助经口切除术治疗的患者(治疗组)和未使用内窥镜的经口开放手术患者(对照组)各60例,于术后1月和1年对所有患者进行临床和超声随访,调查症状缓解和结石复发情况,并通过问卷评估主观结果。结果治疗组术后1个月VAS评分、残余结石和需要进一步治疗比率低于对照组,保留完整腺体比率高于对照组,差异具有统计学意义(P<0.05)。1年随访显示,两组症状消失、复发性梗阻、反复感染和1年内再次治疗比率差异无统计学意义(P>0.05)。治疗组早期(术后1月)并发症总发生率低于对照组(P<0.05),其中水肿、疼痛不适和暂时性舌神经损伤两组比较无明显差异(P>0.05),晚期(术后1年)并发症总发生率及疼痛不适和腺门狭窄发生率两组无明显差异(P>0.05)。结论涎腺内窥镜辅助经口切除较大颌下腺结石安全、有效,可保留主要导管和腺体功能,减少结石残留。Objective To observe of the clinical efficacy and safety of endoscopic assisted oral resection of submandibular gland stones larger than 7 mm.Methods A retrospective analysis was conducted on patients with submandibular gland stones>7 mm treated in the Zhengzhou Central Hospital from April 2020 to April 2022.They were divided into a treatment group of 60 patients who underwent salivary gland endoscopic assisted oral resection and a control group of 60 patients who did not undergo endoscopic open surgery.Clinical and ultrasound follow ups were conducted on all patients at 1 month and 1 year after surgery to investigate symptom relief and stone recurrence,and subjective results were evaluated through questionnaires.Results One month after surgery,the VAS score,residual stones,and the need for further treatment rate in the treatment group were lower than those in the control group,while the rate of preserving intact glandular tissue was higher than that in the control group,and the difference was statistically significant(P<0.05).One year follow-up showed that there was no statistically significant difference in the rates of symptom disappearance,recurrent obstruction,recurrent infection,and re-treatment within one year between the two groups(P>0.05).The total incidence of complications in the early stage(1 month after surgery)of the treatment group was lower than that of the control group((P<0.05)),with no significant difference in edema,pain discomfort,and temporary tongue nerve injury between the two groups(P>0.05).There was no significant difference in the total incidence of complications,pain discomfort,and glandular stenosis in the late stage(1 year after surgery)between the two groups(P>0.05).Conclusion Endoscopic assisted oral resection of large submandibular gland stones is safe and effective,preserving the function of the main ducts and glands and reducing residual stones.

关 键 词：涎石病 颌下腺结石 涎腺内窥镜 颌下涎腺切除术 临床疗效 

分 类 号：R782.7[医药卫生—口腔医学]