Makdissi J, Escudier M P, Brown J E, Osailan S, Drage N, McGurk M
Department of Dental Radiology, Guy's Hospital, Floor 23, London, UK.
Br J Oral Maxillofac Surg. 2004 Dec;42(6):538-41. doi: 10.1016/j.bjoms.2004.08.006.
We studied 43 patients (25 women and 18 men) who had salivary calculi removed from the hilum of the submandibular gland. Preoperatively they had clinical and radiographic examinations, and glandular function was measured scintigraphically in 38 patients. Postoperative follow-up was based on history, clinical examination, structured questionnaire, and scintigraphy. Stone(s) were removed successfully in 42 patients (97%). During the follow-up of a mean of 24 months (range 4-47), 37 patients were symptom-free and 2 patients had mild obstructive symptoms that did not require intervention. The other 4 patients had repeated infections that necessitated removal of the gland under general anaesthesia. Preoperative and postoperative scintigraphic assessments were made in 37 patients (88%). There was a significant increase in the functional fraction and the excretion rate in the gland after removal of the calculus. We conclude that glandular function improves to varying degrees in most patients after the removal of a salivary calculus.
我们研究了43例（25名女性和18名男性）从下颌下腺门部取出涎石的患者。术前他们接受了临床和影像学检查，38例患者通过闪烁扫描法测量了腺体功能。术后随访基于病史、临床检查、结构化问卷和闪烁扫描。42例患者（97%）成功取出结石。在平均24个月（范围4 - 47个月）的随访期间，37例患者无症状，2例患者有轻度梗阻症状，无需干预。另外4例患者反复感染，需要在全身麻醉下切除腺体。37例患者（88%）进行了术前和术后闪烁扫描评估。取出结石后，腺体的功能分数和排泄率显著增加。我们得出结论，大多数患者在取出涎石后腺体功能有不同程度的改善。
