18例慢性舌下腺炎病例回顾性研究

Retrospective study of 18 cases with chronic sublinguitis

目的通过对慢性舌下腺炎病例的回顾性研究了解其临床病理特点,为临床诊治提供帮助。方法对病理确诊为慢性舌下腺炎的18例病例进行回顾性研究,分析其年龄、性别、现病史、查体、入院诊断及治疗方法等。结果18例慢性舌下腺炎患者中,15例(83.33%)口底可扪及包块。其中,8例(53.33%)包块边界不清,11例(73.33%)包块不活动。18例患者的入院诊断中,仅3例(16.67%)诊断正确,10例(55.56%)诊断为肿瘤。结论慢性舌下腺炎常被误诊为舌下腺肿瘤,最终诊断手段为病理检查。相关辅助检查应与临床表现密切结合以作出正确诊断。

Objective To further understand the clinical features of chronic sublinguitis（CS） and to guide the clinical practice by a retrospective study.Methods 18 cases with CS were enrolled in the retrospective study and the age,gender,history of present illness,signs,diagnosis and treatment were analyzed.Results In 18 patients with CS,15 patients（83.33%） had palpable masses.8 masses（53.33%） had poor-defined borders,11 masses（73.33%） were un-movable.There were only 3 patients（16.67%） who were diagnosed correctly in all 18 cases,while 10 patients（55.56%） were diagnosed as tumor.Conclusion CS are often misdiagnosed as sublingual gland tumor and the way to confirm diagnosis is pathological examination.Auxiliary examination should be used properly with clinical manifestation to make the right diagnosis.