口腔医学研究

口腔医学研究 ›› 2024, Vol. 40 ›› Issue (4): 325-329.DOI: 10.13701/j.cnki.kqyxyj.2024.04.009

• 口腔颌面外科学研究 • 上一篇    下一篇

涎腺内镜联合口内小切口取出颌下腺导管腺门部结石53例分析

叶克强1, 吕继连1, 裴飞1, 张瑞1, 乔翔鹤2, 赵媛1*   

  1. 1.郑州大学附属郑州中心医院口腔颌面外科 河南 郑州 450000;
    2.郑州大学第一附属医院口腔颌面外科 河南 郑州 450052
  • 收稿日期:2023-12-11 发布日期:2024-04-22
  • 通讯作者: *赵媛,E-mail:15903646190@163.com
  • 作者简介:叶克强(1993~ ), 男, 河南鲁山人, 硕士, 主治医师, 主要从事唾液腺疾病研究。

Analysis on 53 Cases of Removal of Deep Hilar Submandibular Calculi through Sialoendoscopy and Intraoral Small Incision

YE Keqiang1, LV Jilian1, PEI Fei1, ZHANG Rui1, QIAO Xianghe2, ZHAO Yuan1*   

  1. 1. Department of Oral and Maxillofacial Surgery, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou 450000, China;
    2. Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China
  • Received:2023-12-11 Published:2024-04-22

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摘要： 目的: 观察涎腺内镜联合口内小切口取出颌下腺导管腺门部结石的应用效果。方法: 采用回顾性病例研究的方法,收集2020年1月~2023年12月于我院就诊的颌下腺导管腺门部结石患者临床资料。经过涎腺内镜联合口内小切口手术取石治疗病例纳入观察组(53例),采用传统口内入路切开取石病例纳入对照组(55例)。统计分析两组手术成功率、并发症发生率。统计分析观察组手术前后生活质量。结果: 观察组中52例患者成功取出结石、保留腺体,手术成功率98.1%,术后均无舌神经损伤等并发症;1例未取出结石者术中同期行颌下腺切除术,术后出现暂时性舌神经损伤,并发症发生率1.89%。经随访,52例取出结石患者腺体不同程度恢复功能,术后生活质量较术前显著提升(P<0.05)。截至目前无二次手术摘除腺体病例。对照组中成功取出结石35例,成功率63.6%,其中10例患者出现暂时性舌体麻木,1例患者出现舌下腺囊肿,并发症发生率20%。结论: 涎腺内镜联合口内小切口手术治疗颌下腺导管腺门部结石成功率高,创伤小,患者术后并发症少,有利于提升患者生活质量。

关键词: 涎腺内镜, 口内切口, 涎腺导管结石, 生活质量

Abstract: Objective: To observe the application of sialoendoscopy and intraoral small incision in removing deep hilar submandibular calculi. Methods: Data from patients with deep hilar submandibular calculi who visited our hospital from January 2020 to December 2023 were retrospectively reviewed. Patients who underwent sialoendoscopy and intraoral small incision surgery for stone removal were included in the observation group (53 cases), while patients who underwent traditional intraoral incision for stone removal were included in the control group (55 cases). Success rate and incidence of complications were analyzed. The quality of life before and after operation in the observation group was evaluated. Results: In the observation group, 52 cases were successfully removed the calculi and the gland was preserved, with a surgical success rate of 98.1%. No postoperative complications such as lingual nerve injury were observed. One case in which the stone was not removed underwent submandibular gland resection during the surgery, however, temporary lingual nerve injury occurred postoperation, with a complication rate of 1.89%. After follow-up, the glands of 52 patients with stones removed restored function at varied degrees, and the postoperative quality of life was improved (P<0.05). There was no secondary surgical resection of submandibular glands up to present. However, in the control group, 35 cases were successfully removed the stone, with a success rate of 63.6%. Among them, 10 patients experienced temporary lingual nerve injury, and 1 patient developed sublingual gland cyst, with a complication rate of 20%. Conclusion: Sialoendoscopy and intraoral small incision surgery has a high success rate, minimal trauma, and fewer postoperative complications in the treatment of deep hilar submandibular calculi, which is beneficial for improving quality of life.

Key words: sialoendoscopy, intraoral incision, salivary duct calculi, quality of life