涎腺内镜辅助治疗与干燥综合征相关的慢性阻塞性腮腺炎
Sialendoscopy-assisted treatment for chronic obstructive parotitis related to Sjogren syndrome.
作者信息
Guo Yong-Feng, Sun Ning-Ning, Wu Chuan-Bin, Xue Lei, Zhou Qing
机构信息
Professor, Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, Liaoning Province, PR China.
Physician, Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, Liaoning Province, PR China.
出版信息
Oral Surg Oral Med Oral Pathol Oral Radiol. 2017 Mar;123(3):305-309. doi: 10.1016/j.oooo.2016.10.011. Epub 2016 Oct 15.
OBJECTIVES
Chronic obstructive parotitis related to Sjogren syndrome is not uncommon, but it is rarely reported in the literature. The aim of this study was to describe our experience in the treatment of chronic obstructive parotitis related to Sjogren syndrome.
STUDY DESIGN
Seventeen cases of chronic obstructive parotitis related to Sjogren syndrome treated with sialendoscopy from June 2014 to June 2015 at the Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, were retrospectively reviewed. The cohort underwent ultrasonography, salivary gland scintigraphy, and sialography before sialendoscopy. All patients were asked to complete a visual analogue scale (VAS) evaluation before and 6 months after surgery. A paired t test was conducted, and P < .05 was considered statistically significant.
RESULTS
The 17 study patients (27 parotid glands) successfully underwent interventional sialendoscopy under local anesthesia. The mean preoperative VAS score was 6, and the mean VAS score 6 months after sialendoscopy was significantly lower at 4.5 (P < .05).
CONCLUSIONS
Interventional sialendoscopy plays a significant role in the treatment of chronic obstructive parotitis related to Sjogren syndrome.
目的
与干燥综合征相关的慢性阻塞性腮腺炎并不少见，但在文献中鲜有报道。本研究的目的是描述我们在治疗与干燥综合征相关的慢性阻塞性腮腺炎方面的经验。
研究设计
回顾性分析2014年6月至2015年6月在中国医科大学口腔医学院口腔颌面外科接受唾液腺内镜治疗的17例与干燥综合征相关的慢性阻塞性腮腺炎患者。该队列在唾液腺内镜检查前接受了超声检查、唾液腺闪烁扫描和唾液造影检查。所有患者在手术前和术后6个月均被要求完成视觉模拟量表（VAS）评估。进行配对t检验，P <.05被认为具有统计学意义。
结果
17例研究患者（27个腮腺）在局部麻醉下成功接受了介入性唾液腺内镜检查。术前VAS评分平均为6分，唾液腺内镜检查后6个月的VAS评分平均显著降低至4.5分（P <.05）。
结论
介入性唾液腺内镜检查在治疗与干燥综合征相关的慢性阻塞性腮腺炎中发挥着重要作用。
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