口腔医学研究

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (7): 771-773.DOI: 10.13701/j.cnki.kqyxyj.2018.07.021

• 涎腺疾病研究 • 上一篇    下一篇

口内入路行颌下腺导管深部结石取出术

宋娟1, 邓末宏2   

  1. 1. 佛山市口腔医院口腔特诊科 广东 佛山 528000;
    2. 武汉大学口腔医学院·口腔医院 湖北 武汉 430079
  • 收稿日期:2017-08-17 出版日期:2018-07-28 发布日期:2018-07-20
  • 通讯作者: 宋娟,电话:0757-82810862
  • 作者简介:宋娟(1974~ ),女,河南人,硕士,副主任医师,主要从事口腔颌面部肿瘤的研究工作。

Intraoral Approach to Remove Proximal Submandibular Gland Duct Stone

SONG Juan1, DENG Mo-hong2   

  1. 1. Special Clinical Department, Foshan Stomatological Hospital, Foshan 528000, China;
    2. School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China.
  • Received:2017-08-17 Online:2018-07-28 Published:2018-07-20

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摘要： 目的:探讨口内入路行颌下腺导管深部结石取出术方法,观察术后疗效及并发症。方法:对诊断为颌下腺导管深部结石并经口内入路行结石取出术者随访,对术后短期并发症,长期随访并发症进行总结。结果: 共81例颌下腺导管深部结石经口内入路完成结石取出术,术后24~36 h口内伤口有少量渗血,未经特殊处理,出血自行停止,34例术后感患侧舌尖麻木,83例患者术后第2天感舌活动受影响。术后1个月65例复诊,患者未诉口干症状,伤口均愈合良好,舌体运动无明显受限,舌尖无麻木感,患侧舌下区无明显肿大。进食时患侧颌下区肿大症状治愈,43例挤压患侧颌下腺可见颌下腺导管口有明显唾液流出。结论: 口内入路行颌下腺导管结石取出术手术成功率高,手术并发症少,避免颌面部疤痕、能保留腺体功能的优点。

关键词: 颌下腺导管, 涎石症, 手术入路, 结石取出术

Abstract: Objective: To report the intraoral approach to remove proximal submandibular gland duct stone, and to investigate the treatment effects and complications. Methods: The patients diagnosed with proximal submandibular gland duct stone were removed the stone through intraoral approach. The patients were followed-up. Results: 81 of 83 patients with proximal submandibular gland duct stone were removed successfully. The complications included slight bleeding within 24-36 hours, which was stopped without special treatment. Numbness in the tip of tongue was happened in 34 patients. Tongue movement limitation was happened in all 83 patients in the first day after operation. A total of 65 patients were followed-up after 1 month. No patient complained dry mouth, tongue movement limitation, and numbness of the tongue. All the incisions healed well, and the salivary excretion from the operated submandibular gland was found in 43 patients. Conclusion: Intraoral approach is a safe and effective treatment for removing proximal submandibular gland duct stone with lower complications.

Key words: Submandibular gland duct, Sialolithiasis, Surgery approach, Stone removement operation