摘要
目的:使用涎腺内镜对慢性下颌下腺炎导管进行内诊断的治疗,初步观察治疗效果。方法:应用涎腺内镜观察32例慢性下颌下腺炎患者导管,了解导管内及导管壁异常情况,根据不同病因给予对应的治疗,分别于术后1d和2d初步观察治疗结果。结果:32例慢性下颌下腺炎患者中,有28例存在导管结石;26例导管内有纤维样物质;22例管壁明显充血或出血;21例导管内有憩室;13例导管内发现脓性栓子;9例导管有狭窄。结论:涎腺内镜检查证实结石是慢性下颌下腺炎的主要病因,它和导管的解剖特点及管壁的炎症性反应是引起慢性堵塞症状的共同因素。
Objective:To comprehend the appearance of duct of chronic inflammation of submandibular gland under sialoendoscopy. Methods:To observe 32 cases of chronic inflammtion of submandibular gland under sialoendoscopy,and to comprehend the AOR of ducts. Results:Of the all of 32 cases,28 had stones in duck;26 had fibrous substance;vessel wall of 22 cases was hyperamia and bleed;21 cases had diverticulun;purulence embolus were found in 13 cases;the ducts of 9 cases were stenosis. Conclusions:Under the use of sialoendoscopy,stones in duct is the mainetiological factor of chronic inflammtion of submandibular gland.and at the same time,the feature of duct and inflammation of cessel wall are col-factor.
关键词
慢性下颌下腺炎
涎腺内镜
结石
Chronic inflammation of submandibular gland
Sialoendoscopy
Stones in duck
