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唾液腺内镜检查——新型内镜的初步经验

Sialoscopy--initial experiences with a new endoscope.

作者信息

Zenk J, Koch M, Bozzato A, Iro H

机构信息

Department of Otorhinolaryngology, Head and Neck Surgery, University of Erlangen-Nuremberg, Waldstr. 1, D-91054 Erlangen, Germany.

出版信息

Br J Oral Maxillofac Surg. 2004 Aug;42(4):293-8. doi: 10.1016/j.bjoms.2004.03.006.

Abstract

BACKGROUND

After the introduction of mini-endoscopes for the diagnosis of swelling of the major salivary glands there has been further development of materials and techniques. A new highly flexible semirigid sialoendoscope with high quality imaging (6000 pixels), an outside diameter of 1.1 mm, a working channel of 0.4 mm, and a separate channel for irrigation has been developed and we examined its clinical value.

METHODS

We used the endoscope in 22 patients for diagnosis and treatment.

RESULTS

Sialoendoscopy was achieved after dilatation of the papilla in all cases. The image (both in contrast and resolution) was excellent. We found sialolithiasis in 13, stenosis in 3, and sialodochitis in 3. Through the working channel we were able to insert instruments with success in seven cases with pathological findings. One patient developed a complication.

摘要

背景

在引入微型内窥镜用于诊断大唾液腺肿胀后,材料和技术有了进一步发展。一种新型的具有高质量成像(6000像素)、外径1.1毫米、工作通道0.4毫米以及独立冲洗通道的高柔韧性半刚性唾液腺内窥镜已被研发出来,我们对其临床价值进行了研究。

方法

我们将该内窥镜用于22例患者的诊断和治疗。

结果

所有病例在乳头扩张后均成功进行了唾液腺内窥镜检查。图像(对比度和分辨率)极佳。我们发现13例为涎石病,3例为狭窄,3例为涎管炎。通过工作通道,我们成功地在7例有病理发现的病例中插入了器械。1例患者出现了并发症。

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