Szpirglas H, Giozza S, Agbo-Godeau S, Le Charpentier Y
Service de Stomatologie, Hôpital Salpêtrière, Paris.
Rev Stomatol Chir Maxillofac. 1994;95(3):204-6.
Biopsy of the minor salivary glands has become a routine examination ordered by physicians working in a wide range of disciplines in order to search for or eliminate the diagnosis of Gougerot Sjögren's disease or another systemic disease. We emphasize the need to use this examinations as a part of a complete work-up of the buccal cavity and the salivary glands. We reviewed our experience with 1,500 biopsies. The glands biopsied were normal in 56% of the cases and led to the diagnosis of Gougerot Sjögren's disease in 24%, chronic sialadenitis in 10% and diverse trophic problems in 5%. The clinical stage of Gougerot Sjögren's disease is usually proposed according to the Chisholm classification which we propose to compare with the Chomette classification. Finally, we described the technique of minor salivary gland biopsy.
小唾液腺活检已成为各学科医生常规开展的一项检查,目的是排查或确诊舍格伦综合征或其他全身性疾病。我们强调,应将此项检查作为口腔和唾液腺全面检查的一部分。我们回顾了1500例活检的经验。活检的腺体在56%的病例中是正常的,24%的病例确诊为舍格伦综合征,10%为慢性涎腺炎,5%为各种营养问题。舍格伦综合征的临床分期通常根据奇泽姆分类法提出,我们建议将其与肖梅特分类法进行比较。最后,我们描述了小唾液腺活检技术。