老年性慢性颌下腺炎

Senile chronic submandibular sialadenitis

目的 研究老年性慢性颌下腺炎的临床特点和其诊治。方法 收集年龄在 50岁以上、临床诊断为颌下腺肿瘤、术后病理诊断为慢性炎症的患者。X线检查无结石、无舍格伦综合征及相关自家免疫性疾病。结果 35例的临床表现均为无意发现颌下区肿块,其与进食无关。病理表现为腺泡破坏、慢性炎症细胞浸润,有的闰管腔内存在微小钙化。结论 老年患者颌下腺肿块、影像学检查无结石和占位性病变,应考虑诊断老年慢性颌下腺炎,不必切除颌下腺。

Objective To evaluate the clinic characteristic and treatment of senile chronic submandibular sialadenitis.Methods The clinical records of the patients over 50 years old whose final diagnosis was chronic submandibular sialadenitis were reviewed. The patients were diagnosed as neoplasm of submandibular gland before operation, There was no radiographic sign of sialolithiasis, no clinical and laboratory signs of Sjren syndrome or related autoimmune disease.Results Thirty five patients were presented in masses in the submandibular space, which was not related to eating. Histopathologic study showed destruction of acinus, infiltration of inflammatory cell, and micro calcification in the intercalated duct.Conclusions The diagnosis of senile chronic submandibular sialadenitis should be considered if a mass in the submandibular space occurs in the old patients and radiographic study shows no sialolithiasis and neoplasm.Resection of the submandibular gland is not necessary for these patients.