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针对HIV阳性患者腮腺良性淋巴上皮囊肿的门诊硬化治疗

Office-based sclerotherapy for benign parotid lymphoepithelial cysts in the HIV-positive patient.

作者信息

Berg Eric E, Moore Charles E

机构信息

Grady Memorial Hospital, Atlanta, Georgia, USA.

出版信息

Laryngoscope. 2009 May;119(5):868-70. doi: 10.1002/lary.20205.

DOI:10.1002/lary.20205
PMID:19358192
Abstract

OBJECTIVE

To determine the efficacy of sodium morrhuate injection therapy in the control of benign lymphoepithelial cysts of the parotid gland.

STUDY DESIGN

Retrospective review.

METHODS

The medical records of human immunodeficiency virus (HIV)-positive patients who presented to an indigent care hospital for the evaluation and management of benign lymphoepithelial cysts of the parotid gland are reviewed. Cyst laterality, aspiration and injection volumes, and noted complications were recorded. When applicable, elapsed time between recurrent interventions was recorded.

RESULTS

Medical records were available for a total of nine patients who underwent aspiration and injection of 34 cysts. Five of the nine patients required therapy for additional cyst formation an average of 11.8 months after initial intervention. There have been no known instances of facial nerve or parotid gland injury, and the only recorded postprocedure complaints were pain and mild edema.

CONCLUSIONS

While multiple cysts may arise and serial intervention may be required, we believe that in association with broader clinical experience, the data presented here support aspiration and sodium morrhuate injection as a safe, minimally invasive, and efficacious technique in the treatment of benign lymphoepithelial cysts of the parotid gland in the HIV-positive population.

摘要

目的

确定鱼肝油酸钠注射疗法在控制腮腺良性淋巴上皮囊肿方面的疗效。

研究设计

回顾性研究。

方法

回顾了到一家贫困护理医院就诊以评估和处理腮腺良性淋巴上皮囊肿的人类免疫缺陷病毒(HIV)阳性患者的病历。记录囊肿的部位、抽吸和注射量以及所记录的并发症。适用时,记录反复干预之间的时间间隔。

结果

共有9例患者接受了34个囊肿的抽吸和注射,其病历资料可供分析。9例患者中有5例在初次干预后平均11.8个月因出现新的囊肿而需要再次治疗。尚无已知的面神经或腮腺损伤病例,术后唯一记录到的主诉是疼痛和轻度水肿。

结论

虽然可能会出现多个囊肿且可能需要进行系列干预,但我们认为,结合更广泛的临床经验,本文所提供的数据支持在HIV阳性人群中,抽吸和鱼肝油酸钠注射是一种安全、微创且有效的治疗腮腺良性淋巴上皮囊肿的技术。

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Eur Arch Otorhinolaryngol. 2016 Oct;273(10):3355-62. doi: 10.1007/s00405-016-3926-4. Epub 2016 Feb 16.
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Benign lymphoepithelial cysts of the parotid: long-term surgical results.腮腺良性淋巴上皮囊肿:长期手术结果
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