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针对接受放射性碘治疗的甲状腺疾病患者,采用唾液腺穿刺术治疗口干症的疗效初步研究。

Preliminary study on the efficacy of xerostomia treatment with sialocentesis targeting thyroid disease patients given radioiodine therapy.

作者信息

Kim Euy-Hyun, Lee Dong-Keon, Kim Chang-Woo, Song In-Seok, Jun Sang-Ho

机构信息

Department of Oral and Maxillofacial Surgery, Korea University Anam Hospital, 73, Inchon-ro, Seongbuk-gu, Seoul, Republic of Korea.

出版信息

Maxillofac Plast Reconstr Surg. 2019 Sep 5;41(1):39. doi: 10.1186/s40902-019-0223-3. eCollection 2019 Dec.

DOI:10.1186/s40902-019-0223-3
PMID:31544098
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6728110/
Abstract

BACKGROUND

Radioiodine therapy has been widely used for thyroid disease patients, but hyposalivation and xerostomia may occur in 10~30% of patients. Sialocentesis is a procedure that removes inflammatory substances in the salivary duct and expands the duct for the secretion and delivery of saliva. In this study, thyroid disease patients treated with radioactive iodine were selected among the patients with xerostomia who visited the hospital, and the effect of sialocentesis was compared and analyzed. And then, comparison between the radioiodine therapy-experienced group and the non-radioiodine therapy-experienced group was conducted.

RESULTS

In this study, we studied xerostomia patients who underwent radioiodine therapy due to thyroid diseases and who underwent sialocentesis at the Korea University Anam Hospital. Sialocentesis is conducted by one surgeon. The study also compares the clinical symptoms before and after the surgery. After the procedure, the discomfort due to xerostomia was reduced, and the symptom was improved effectively.

CONCLUSIONS

The results of this study showed that sialocentesis has a clinical effect in the treatment of xerostomia, which is a side effect of radioiodine therapy. In addition, the possibility of further clinical application of sialocentesis in the future is found.

摘要

背景

放射性碘治疗已广泛应用于甲状腺疾病患者,但10%至30%的患者可能会出现唾液分泌减少和口干症。唾液腺穿刺术是一种清除唾液导管内炎症物质并扩张导管以促进唾液分泌和排出的操作。在本研究中,从前来医院就诊的口干症患者中选取接受放射性碘治疗的甲状腺疾病患者,比较并分析唾液腺穿刺术的效果。然后,对有放射性碘治疗经历的组和无放射性碘治疗经历的组进行比较。

结果

在本研究中,我们研究了因甲状腺疾病接受放射性碘治疗且在韩国大学安岩医院接受唾液腺穿刺术的口干症患者。唾液腺穿刺术由一名外科医生进行。该研究还比较了手术前后的临床症状。术后,口干引起的不适减轻,症状得到有效改善。

结论

本研究结果表明,唾液腺穿刺术对放射性碘治疗的副作用口干症具有临床治疗效果。此外,发现了唾液腺穿刺术未来进一步临床应用的可能性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/5a0dc0defb00/40902_2019_223_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/fb347512ff3d/40902_2019_223_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/1dc5d5cf5357/40902_2019_223_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/750f7a473bb0/40902_2019_223_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/4999f9946903/40902_2019_223_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/ed2ad89d5fed/40902_2019_223_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/5a0dc0defb00/40902_2019_223_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/fb347512ff3d/40902_2019_223_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/1dc5d5cf5357/40902_2019_223_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/750f7a473bb0/40902_2019_223_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/4999f9946903/40902_2019_223_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/ed2ad89d5fed/40902_2019_223_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8714/6728110/5a0dc0defb00/40902_2019_223_Fig6_HTML.jpg

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本文引用的文献

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Sialendoscopy enhances salivary gland function in Sjögren's syndrome: a 6-month follow-up, randomised and controlled, single blind study.涎腺镜检查增强干燥综合征患者的唾液腺功能:一项 6 个月随访、随机对照、单盲研究。
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