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下颌下腺和舌下腺导管的临床与解剖学研究

Clinical and anatomic study on the ducts of the submandibular and sublingual glands.

作者信息

Zhang Lei, Xu Heng, Cai Zhi-gang, Mao Chi, Wang Yang, Peng Xin, Zhu Zheng-hong, Yu Guang-yan

机构信息

Department of Oral and Maxillofacial Surgery, Peking University, School and Hospital of Stomatology, Beijing, China.

出版信息

J Oral Maxillofac Surg. 2010 Mar;68(3):606-10. doi: 10.1016/j.joms.2009.03.068.

DOI:10.1016/j.joms.2009.03.068
PMID:20171479
Abstract

PURPOSE

To investigate the relationship between the ducts of the submandibular gland (SMG) and sublingual gland (SLG) and discuss its clinical application relating to SMG radiologic examinations and transfer.

MATERIALS AND METHODS

The microanatomy of the SMG and SLG was investigated by use of 30 adult cadavers through anatomic dissection by use of a microscope. The relationship between the SMG and SLG ducts was observed and recorded during operations of microvascular autologous SMG transfer in 63 cases of severe keratoconjunctivitis sicca.

RESULTS

There were 3 patterns of SLG and SMG duct anatomic variation: 1) The SMG and SLG have their own respective ducts that secrete separately at the orifices of the ducts in the floor of the mouth. 2) The SLG has a major duct that joins the duct of the SMG. 3) The SLG only has many fine ducts (7-15) that secrete in the floor of the mouth.

CONCLUSIONS

The anatomy of the ducts of the SMG and SLG is quite complicated. More attention should be paid to the anatomy of the ducts during surgery or imaging procedures related to the SMG.

摘要

目的

研究下颌下腺(SMG)与舌下腺(SLG)导管之间的关系,并探讨其在SMG放射学检查及移植方面的临床应用。

材料与方法

利用30具成年尸体,通过显微镜解剖研究SMG和SLG的显微解剖结构。在63例严重干燥性角结膜炎患者的自体微血管SMG移植手术过程中,观察并记录SMG和SLG导管之间的关系。

结果

SLG和SMG导管存在3种解剖变异模式:1)SMG和SLG各有其独立导管,分别在口腔底部导管开口处分泌。2)SLG有一条主导管与SMG导管相连。3)SLG仅有许多细小导管(7 - 15条)在口腔底部分泌。

结论

SMG和SLG导管的解剖结构相当复杂。在与SMG相关的手术或影像学检查过程中,应更加关注导管的解剖结构。

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