三种用于治疗舌下囊肿的方法的比较。
A comparison of three methods used for treatment of ranula.
作者信息
Yoshimura Y, Obara S, Kondoh T, Naitoh S
机构信息
Department of Oral and Maxillofacial Surgery, Shimane Medical University, Japan.
出版信息
J Oral Maxillofac Surg. 1995 Mar;53(3):280-2; discussion 283. doi: 10.1016/0278-2391(95)90224-4.
PURPOSE
This report compares the treatment results for oral and plunging ranulas.
PATIENTS AND METHODS
Twenty-seven patients were retrospectively examined concerning treatment methods and recurrence on the basis of their medical records. The surgical specimens were also examined microscopically.
RESULTS
Four patients had excision of the ranula only, 22 had marsupialization, and nine had removal of the sublingual gland combined with the excision of the ranula. These treatments showed a 25.0%, 36.4% and 0% recurrence rate, respectively. Histological observation revealed no epithelial lining in any of the examined specimens.
CONCLUSIONS
Removal of the sublingual gland combined with the ranula was the most reliable method among the above three used.
目的
本报告比较口腔及舌下腺囊肿型舌下囊肿的治疗结果。
患者与方法
回顾性检查27例患者的病历，分析其治疗方法及复发情况。对手术标本也进行了显微镜检查。
结果
4例患者仅行舌下囊肿切除术，22例行袋形缝合术，9例行舌下腺摘除术联合舌下囊肿切除术。这些治疗的复发率分别为25.0%、36.4%和0%。组织学观察显示，所有检查标本均无上皮衬里。
结论
在上述三种治疗方法中，舌下腺摘除术联合舌下囊肿切除术是最可靠的方法。
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