Lari N, Chossegros C, Thiery G, Guyot L, Blanc J-L, Marchal F
Service de stomatologie et de chirurgie maxillofaciale, CHU de la Timone, boulevard Jean-Moulin, 13385 Marseille cedex 5, France.
Rev Stomatol Chir Maxillofac. 2008 Jun;109(3):167-71. doi: 10.1016/j.stomax.2008.04.003. Epub 2008 Jun 3.
Sialoendoscopy is a simple efficient mode of treatment for major salivary gland sialoliths and strictures.
Sialendoscopy procedure requires specific devices, diagnostic and therapeutic sialendocopes, minigrasping forceps, wire baskets, lasers, balloons and stents. The sialendoscopy procedure is divided in three steps: the duct introduction step (through the papilla or through the duct wall); the diagnostic step (from main duct to third or fourth salivary division branches) and the therapeutic step (stone removal with a Dormia basket or miniforceps and stenosis balloon dilatation). The feasibility of stone removal depends on the size, the position, the mobility and the shape of the stone. The only contraindication is acute sialadenitis.
Sialendoscopy complications are minor. Its success rate for stone removal is greater than 90%, and it has dramatically reduced the rate of sialadenectomy (to less than 5%).
唾液腺内镜检查是治疗主要唾液腺涎石病和狭窄的一种简单有效的方法。
唾液腺内镜检查需要特定的设备，包括诊断性和治疗性唾液腺内镜、微型抓取钳、金属丝篮、激光、球囊和支架。唾液腺内镜检查过程分为三个步骤：导管插入步骤（通过乳头或导管壁）；诊断步骤（从主导管到第三或第四级唾液腺分支）和治疗步骤（用多尔米亚篮或微型镊子取出结石以及进行狭窄球囊扩张）。结石取出的可行性取决于结石的大小、位置、活动度和形状。唯一的禁忌症是急性涎腺炎。
唾液腺内镜检查的并发症较少。其结石取出成功率大于90%，并显著降低了涎腺切除术的发生率（降至5%以下）。
