逆向摘除舌下腺治疗舌下腺囊肿的临床研究

Clinical research on retrograde excision of sublingual gland for the treatment of oral ranulas

目的评价自后端摘除舌下腺在治疗舌下腺囊肿中的临床应用价值。方法收集本科室曾经收治的86例舌下腺囊肿患者资料,均使用摘除患侧舌下腺的手术治疗方案,从术中出血量、手术时长及手术并发症发生率,比较传统舌下腺摘除术和由后端向前逆向摘除术的临床治疗效果。结果逆向摘除组较传统术式组术中出血量明显减少,统计分析差异有统计学意义(t=8.89,P<0.01)。手术时长明显缩短,统计分析差异有统计学意义(t=14.85,P<0.01)。手术并发症发生率明显降低(10.7%到0%),但统计分析差异无统计学意义。结论由后端向前端逆向摘除舌下腺降低了手术并发症发生率,减少了术中出血量,缩短了手术时间,提高了手术安全性,适合在舌下腺摘除术中推广使用。

Objective To evaluate the clinical value of retrograde excision of sublingual gland from posterior to anterior for the treatment of oral ranulas.Methods A retrospective analysis of 86 oral ranulas patients,who had excised ipslateral sublingual gland in our hospital,was conducted to compare traditional sublingual gland excision with retrograde sublingual gland excision in loss of blood,duration and incidence of complications in surgery.Results Compared to traditional sublingual gland excision,the loss of blood in retrograde sublingual gland excison was significantly reduced and the difference was statistically significant(t=8.89,P<0.01).The duration in surgery was significantly shortened and the difference was statistically significant(t=14.85,P<0.01).The incidence of complications decreased greatly(from 10.7%to 0%),but the difference was not statistically significant.Conclusion Retrograde excision of sublingual gland from posterior to anterior can reduce the incidence of surgical complications and loss of blood,shorten the duration and improve the safety of surgery.It is suitable to be applied in sublingual gland excision.