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腮腺导管结石的介入性唾液腺内镜检查:我们的初步经验。

Interventional sialendoscopy for parotid ductal calculi: our preliminary experience.

作者信息

Singh P P, Gupta Neelima, Goyal Arun, Tomar Sanjeev

机构信息

Department of Otorhinolaryngology, University College of Medical Sciences and GTB Hospital, A-304, Abhyant Apartments, 2, Vasundhara Enclave, Delhi 110096 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2012 Sep;64(3):252-6. doi: 10.1007/s12070-011-0361-0. Epub 2011 Nov 30.

Abstract

With this article we present our initial experience with interventional sialendoscopy of the parotid duct for the parotid calculi. We carried out a prospective study of patients of parotid calculi in a tertiary referral centre. Diagnostic and interventional sialendoscopy was performed in five cases of parotid calculi. The outcome was classified on the basis of clearance of the lumen of the duct and resolution of symptoms. Diagnostic sialendoscopy was able to diagnose the calculus in all cases. Interventional sialendoscopy was done under general anesthesia in all cases and calculus was successfully removed. The average size of sialolith was 8.2 mm. No complications occurred in any of the cases. Check sialendoscopy was done in all cases after a minimum follow up of 6 months, which showed the duct lumen to be free of stone with no stricture of the duct. Sialendoscopy is an optimal technique for removal of intraductal parotid calculi and avoids removal of the gland. In our series there was no associated morbidity and complication.

摘要

在本文中,我们介绍了腮腺导管介入性涎腺内镜治疗腮腺结石的初步经验。我们在一家三级转诊中心对腮腺结石患者进行了一项前瞻性研究。对5例腮腺结石患者进行了诊断性和介入性涎腺内镜检查。根据导管管腔通畅情况和症状缓解情况对结果进行分类。诊断性涎腺内镜检查在所有病例中均能诊断出结石。所有病例的介入性涎腺内镜检查均在全身麻醉下进行,结石均成功取出。涎石的平均大小为8.2毫米。所有病例均未发生并发症。所有病例在至少随访6个月后进行了复查涎腺内镜检查,结果显示导管管腔无结石且无导管狭窄。涎腺内镜检查是一种去除导管内腮腺结石的最佳技术,避免了腺体切除。在我们的系列研究中,没有相关的发病率和并发症。

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Causes, natural history, and incidence of salivary stones and obstructions.唾液腺结石及梗阻的病因、自然史和发病率。
Otolaryngol Clin North Am. 2009 Dec;42(6):927-47, Table of Contents. doi: 10.1016/j.otc.2009.08.012.
4
Sialendoscopy and lithotripsy: literature review.唾液腺内镜检查与碎石术:文献综述
Otolaryngol Clin North Am. 2009 Dec;42(6):915-26, Table of Contents. doi: 10.1016/j.otc.2009.09.001.
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Sialolithiasis management: the state of the art.涎石病的治疗:当前的技术水平
Arch Otolaryngol Head Neck Surg. 2003 Sep;129(9):951-6. doi: 10.1001/archotol.129.9.951.
9
Specificity of parotid sialendoscopy.腮腺唾液腺内镜检查的特异性
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Interventional sialendoscopy.介入性涎腺内镜检查
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