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[唾液腺非肿瘤性疾病的临床方面]

[Clinical aspects of non-tumorous diseases of the salivary glands].

作者信息

Haubrich J

机构信息

Univ.-Hals-Nasen-Ohrenklinik Göttingen.

出版信息

Arch Otorhinolaryngol. 1976;213(1):1-59. doi: 10.1007/BF00462775.

Abstract

The vast field encompassed by the non-tumorous diseases of the salivary glands poses difficult problems for their diagnosis and therapy. In order to facilitate comprehension of the pathological processes and the therapeutical possibilities for their treatment, physiological and biochemical aspects of salivary gland function are presented in the introduction. There are also mentioned in detail most of the diagnostic methods clinically applied today and stress is laid on their respective diagnostic values. In contrast to the opinion of many authors, exploratory excision and puncture are shown to be very important diagnostic tools in salivary gland pathology. The specific application of these methods is often the only means for a reliable diagnosis. The classification of the diseases follows Seifert's (1971) proposal. The chronic diseases of the salivary glands are specifically mentioned with the chronic recurrent and the chronic myoepithelial sialoadenitis taking first place. The sialoses are presented in a larger chapter. An attempt was made to correlate clinical and experimental results, to establish working hypotheses concerning the development of sialoses, to suggest therapeutical possibilities and, last not least, to give an idea of the many clinical and patho-anatomical difficulties to be overcome for a satisfactory understanding of such pathological processes. Finally, various forms of salivary gland fistulas and their treatment are mentioned. The long list of references merely gives an approximation of the abundance of publications dealing with the problems of this field.

摘要

唾液腺非肿瘤性疾病所涵盖的广阔领域给其诊断和治疗带来了难题。为便于理解其病理过程及治疗的可能性,引言部分介绍了唾液腺功能的生理和生化方面。文中还详细提及了当今临床应用的大多数诊断方法,并强调了它们各自的诊断价值。与许多作者的观点不同,探查性切除和穿刺在唾液腺病理学中被证明是非常重要的诊断工具。这些方法的具体应用往往是做出可靠诊断的唯一手段。疾病分类遵循赛弗特(1971年)的提议。特别提到了唾液腺的慢性疾病,其中慢性复发性和慢性肌上皮涎腺炎最为常见。涎腺肿大在一个较大的章节中进行了阐述。试图将临床和实验结果相互关联,就涎腺肿大的发展建立工作假设,提出治疗的可能性,最后但同样重要的是,让大家了解为圆满理解此类病理过程而需克服的诸多临床和病理解剖学难题。最后,提到了各种形式的唾液腺瘘及其治疗方法。长长的参考文献列表仅大致反映了涉及该领域问题的出版物数量之多。

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