Liu Deng-Gao, Zhang Zu-Yan, Zhang Lei, Zhang Ye, Song Xiao-Xia, Yu Guang-Yan
Department of Radiology, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2008 Apr;43(4):248-9.
To investigate the value of endoscopy in the diagnosis and treatment of sialolithiasis.
Diagnostic and interventional sialoendoscopic procedures were performed in 52 patients with sialolithiasis (43 submandibular glands and 9 parotid glands).
Of the 34 sialoliths in the anterior and/or posterior part of the Wharton's duct, 24 were removed with basket retrieval; 2 removed with open surgery and basket retrieval, and 8 removed with open surgery under the guidance of endoscopy. Eight sialoliths in the hilum of the Wharton's duct were treated with open surgery. Of the 9 stone cases in the Stensen's duct, 3 was removed with basket retrieval, 3 was removed after opening-up of the ostium, 1 was treated with basket capturing and open surgery. The obstructive symptoms were improved in these cases during 1-24 months' follow-up.
Sialoendoscopy is a minimal invasive and efficacious technique for the diagnosis and treatment of sialolithiasis.
探讨涎腺内镜在涎石病诊断和治疗中的价值。
对52例涎石病患者（43例下颌下腺、9例腮腺）进行诊断性和介入性涎腺内镜操作。
在沃顿管前部和/或后部的34颗涎石中，24颗用网篮取出；2颗通过开放手术联合网篮取出，8颗在内镜引导下通过开放手术取出。沃顿管开口处的8颗涎石采用开放手术治疗。在9例腮腺导管结石病例中，3颗用网篮取出，3颗在开口后取出，1颗采用网篮捕获联合开放手术治疗。在1至24个月的随访期间，这些病例的梗阻症状均得到改善。
涎腺内镜是诊断和治疗涎石病的一种微创且有效的技术。
