黏膜隧道桥微创治疗单纯型舌下腺囊肿疗效分析

The minimally invasive treatment of cyst simplex of sublingual gland by the mucosal bridge-tunnel surgery

目的 探讨黏膜隧道桥微创治疗单纯型舌下腺囊肿的临床效果.方法 分析2008年1月至2012年12月在解放军总医院诊治的单纯型舌下腺囊肿采用黏膜隧道桥微创治疗术治疗的35例患者资料.在舌下腺囊肿的最高处设计两条2 mm宽的平行切口,并沿切口在囊肿壁上方游离出口腔黏膜.将黏膜基底部缝合固定到囊肿的最深部形成黏膜隧道,切口的两个外部边缘缝合在一起形成黏膜桥.结果 经最长4年,最短半年随访,其中1例失访,治愈30例（85.7％）,好转4例（11.4％）,治疗有效率97.1％,无1例复发,患者满意.结论 黏膜隧道桥治疗术是单纯型舌下腺囊肿较为安全、有效、易操作的治疗方法.

Objective To explore the clinical effectiveness of minimally invasive treatment of cyst simplex of sublingual gland by the mucosal bridge-tunnel surgery.Methods A total of 35 patients were enrolled.Minimally invasive treatment of cyst simplex of sublingual gland was performed by mucosa bridgetunnel surgery.Two parallel incisions were initially made at the apex of cyst of sublingual gland with about 2 mm wide,and then free mucosa flap was obtained from the top of the cyst wall along the incisions.The mucosal tunnel was made by suturing the base of the mucosal stripe at the deepest part of the cyst wall,and the mucosal bridge was formed by suturing two external edges of the incisions.Results The follow-up period was 6-48 months.30 cases（85.7%） were cured and 4 cases（11.4%） were improved with no recurrence except for one loss of follow-up.Totally,patients were satisfied with the treatment.Conclusion Mucosal bridge-tunnel surgery is a safe,effective,simple and easy-operating method to the cyst simplex of sublingual gland patients who are undergoing a relapse after treatment with drug injection or palliative care,young,worn with age,with bilateral problem,intolerant to a major surgery,or having a higer expectation to the treatment.