Huo Bei-Bei
Department of Dental, Beijing Zhongguancun Hospital, Beijing, China.
Acta Odontol Scand. 2024 May 3;83:249-254. doi: 10.2340/aos.v83.40492.
This study aimed to evaluate the clinical effect of suture micromarsupialisation on ranula. Methods: This is a retrospective comparative clinical study, the clinical data of 106 patients with simple ranula admitted to the Oral and Maxillofacial Surgery Department of Beijing Zhongguancun Hospital between August 2022 and May 2023 were collected. The patients were divided into the research group (55 patients), who underwent suture micromarsupialisation, and control group (51 patients), who underwent ranula resections. The therapeutic methods were compared regarding cure rate, surgical duration, intraoperative blood loss, 24-h postoperative pain score, intraoperative and postoperative complications, and recurrence rate. Results: The difference in the total effective rate between the two groups was not statistically significant (98.18% vs. 96.08%, χ2 = 2.116, p = 0.347). Intraoperative blood loss (4.35 ± 1.19 vs. 26.33 ± 3.19), surgery duration (6.33 ± 1.43 vs. 26.33 ± 3.19) and the postoperative visual analogue scale score (0.32 ± 0.03 vs. 3.81 ± 0.15) in the research group were lower than in the control group (p < 0.05). The incidence rate of complications in the research group was lower than in the control group (7.27% vs. 25.49%, χ2 = 6.522, p = 0.011). The difference in the postoperative recurrence rate between the two groups was not statistically significant (3.63% vs. 9.80%, χ2 = 1.632, p = 0.201). Conclusions: Suture micromarsupialisation is a conservative therapeutic method for intraoral ranula. The cure rate of suture micromarsupialisation is similar to that of traditional surgery. It is recommended to use this technique as a first-line conservative therapeutic method for intraoral ranula, as it has the advantages of minimal invasion, simple operation, no pain, no need for haemostasis and no complications.
本研究旨在评估缝线微小袋形缝合术治疗舌下腺囊肿的临床效果。方法：这是一项回顾性对比临床研究，收集了2022年8月至2023年5月期间在北京中关村医院口腔颌面外科就诊的106例单纯性舌下腺囊肿患者的临床资料。将患者分为研究组（55例），接受缝线微小袋形缝合术；对照组（51例），接受舌下腺囊肿切除术。比较两组治疗方法在治愈率、手术时长、术中出血量、术后24小时疼痛评分、术中和术后并发症以及复发率方面的差异。结果：两组总有效率差异无统计学意义（98.18%对96.08%，χ2 = 2.116，p = 0.347）。研究组术中出血量（4.35±1.19对26.33±3.19）、手术时长（6.33±1.43对26.33±3.19）和术后视觉模拟评分（0.32±0.03对3.81±0.15）均低于对照组（p < 0.05）。研究组并发症发生率低于对照组（7.27%对25.49%，χ2 = 6.522，p = 0.011）。两组术后复发率差异无统计学意义（3.63%对9.80%，χ2 = 1.632，p = 0.201）。结论：缝线微小袋形缝合术是治疗口腔内舌下腺囊肿的一种保守治疗方法。缝线微小袋形缝合术的治愈率与传统手术相似。建议将该技术作为口腔内舌下腺囊肿的一线保守治疗方法，因为它具有微创、操作简单、无痛、无需止血且无并发症等优点。
