40例不同类型舌下腺囊肿的临床分析

Clinical analysis of 40 cases of sublingual gland cyst

目的:探讨不同类型舌下腺囊肿的临床特征、诊治方法、临床疗效及手术并发症的处理。方法:对某医院口腔颌面外科收治的40例不同类型舌下腺囊肿进行回顾性分析,其中单纯型30例,潜突型4例,哑铃型6例。结果:在40例不同类型舌下腺囊肿中,单纯型及哑铃型因其临床特征明显,易于诊断,对于潜突型舌下腺囊肿,则通过颌下区穿刺及彩色超声检查辅助诊断。手术方法均采用口内入路切除患侧舌下腺囊肿邻近囊壁及腺体。其中1例发生术后出血,通过紧急手术探查予以结扎止血处理,其余病例均未发生手术并发症。结论:局部穿刺及超声检查是值得推荐的用于舌下腺囊肿鉴别诊断的有效手段,完整摘除患侧舌下腺腺体是治疗不同类型舌下腺囊肿并预防其复发的关键。

Objective：To study the clinical features, means of diagnosis and treatment, clinical effects and operative complications of different types of sublingnal gland cyst.Methods：A retrospective review was performed on 40 cases of different types of sublingual gland cyst which were were composed of 30 oral ranula, 4 plunging ranula and 6 mixed ranula admitted in department of oral and maxillofacial surgery. Results：A total of 40 cases, the oral and mixed ranula could be easily diagnosed because of typical characteristics. The examination of centesis and color ultrasound in submandibular region were the important auxiliary diagnosis methods to the plunging ranula. The therapeutic approach was the complete excision of sublingual gland and ranula. One patient suffered a serious post-operation wound hemo all other cases.Conclusion rrhage that was stopped with emergency operation. No operative complication occurred in ：Ultrasound and centesis examinations are the differential diagnosis. The complete sublingnal gland excision should be the sublingual gland cyst and a key factor to prevent postoperative recurrence. recommended diagnostic tools for the preferred treatment of different types of