Jiang Lan, Zhang Ye, Liu Deng-gao, Zhang Lei, Zhang Zu-yan, Yu Guang-yan
Department of Oral and Maxillofacial Radiology, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2012 Mar;47(3):157-9. doi: 10.3760/cma.j.issn.1002-0098.2012.03.007.
To investigate the clinical effects of sialoendoscopically-assisted sialolithectomy for the sialolithiasis in the hilum of the submandibular glands.
Between December 2005 and March 2011, treated 80 cases of radiography-verified sialiolithiasis in the hilum of the submandibular glands, The patients included 42 males and 38 females aged from 13 to 68 years. All these patients underwent sialoendoscopic observation and sialoendoscopically-assisted sialolithectomy and were followed up periodically for 3 - 6 months after operation. The success rate of stone removal, postoperative complications and clinical effects were analysed.
The stones were completely removed in 71 cases, and almost completely removed in 5 cases, with a successful rate of 95% (76/80). Among 76 successful cases, 8 were treated by basket entrapment, 59 by intraoral open surgery and 9 by both of these two techniques. Within 3 - 6 months' follow-up, 1 case suffered temporary lingual nerve parenthesis and two suffered ranula formation.
Sialoendoscopically-assisted sialolithectomy is a safe and effective gland-preservation technique for the patients with the hilum of the submandibular glands.
探讨涎腺内镜辅助下颌下腺腺门涎石摘除术治疗下颌下腺腺门涎石病的临床效果。
2005年12月至2011年3月，对80例经影像学证实的下颌下腺腺门涎石病患者进行治疗，患者年龄13～68岁，其中男性42例，女性38例。所有患者均接受涎腺内镜观察及涎腺内镜辅助涎石摘除术，并于术后定期随访3～6个月。分析结石清除成功率、术后并发症及临床效果。
71例结石完全清除，5例基本清除，成功率为95%（76/80）。76例成功病例中，8例采用圈套器取石，59例采用口内开放手术，9例采用两种方法联合。随访3～6个月，1例出现暂时性舌神经麻痹，2例出现舌下腺囊肿。
涎腺内镜辅助下颌下腺腺门涎石摘除术是一种安全有效的保腺技术。
