不同年龄段舌下腺囊肿临床特点与对功能影响的比较

The clinical feature and function change of patient with ranula in various age

目的 探讨不同年龄段舌下腺囊肿的临床特点与对功能影响的变化。方法 对 2 2 6例舌下腺囊肿进行年龄段分类 ,发生部位分型 ,麻醉与手术方案 ,涎腺流量及免疫球蛋白测定。结果 发病率少儿组为 3 7.6% ,中青年组为5 5 .8% ,老年组为 6.6%。囊肿分型单纯型占 75 .2 % ,口外型占 16.8% ,哑铃型占 8.0 %。手术与麻醉方法少儿组和老年组以全麻为主 ,中青年组以局麻为主。单纯型和哑铃型以口内切口为主 ,口外型以颌下切口为主。术后涎腺流量虽稍少于术前 ,免疫球蛋白稍高于术前 ,但均无显著性差异。结论 舌下腺囊肿手术的关键是摘除舌下腺 ,术后不影响涎腺的分泌及功能。

Objective To observate the clinical feature and function change of patient with ranula in various age . Methods It were studied in various age ,classification, anesthesia, operationm, saliva flow rate and immuuoglobin in 226 cases. Results All of the cases ,it was 37.6 percent in teenage group,55.8% in middle aged persons and 6.6% in the old aged group, in classification , it was 75.2%, in simple type,16.8% in submandibular type,8.0% in dumbbell type,in anesthesia and operation it was main operated by general anesthesia in teenage and old aged groups, and local anesthesia in younger group, the immer-oral excision in simple or dumbbell types(82.7%),and the submandibular excision in outer-oral excision in simple or dumbbell types(10.7%).Otherwise ,the saliva secretion edcreased a little after operation(p>0.05) and the level of SigA, IgG and lysodyme increased post-operation(p>0.05). Conclusion It is a ley to remove the sublingual gland in operation of ranula ,and it doesn't affect the saliva function after operation.