造影-介入治疗慢性化脓性腮腺炎78例分析

Analysis of Parotid Sialography and Intervention in 78 Cases of Chronic Pyogenic Parotitis

目的探讨造影-介入方法诊断和治疗慢性化脓性腮腺炎的价值。方法对78例接受过全身抗感染治疗和支持疗法,但疗效不明显的慢性腮腺炎病人,在X线监控下行48%碘化油注射造影。根据影像所见,将患者分为慢性阻塞性(21例)和慢性非阻塞性(57例)腮腺炎。造影前,经微导管引流腮腺内分泌液,做细菌培养及药敏试验。对慢性阻塞性腮腺炎病人,给予经导管向腮腺内灌注2%利多卡因、1%甲紫治疗。对慢性非阻塞性腮腺炎病人,用同样方法注入α-糜蛋白酶、丁胺卡那霉素、生理盐水混合液治疗。结果慢性阻塞性腮腺炎组治愈率为80.95%,慢性非阻塞性腮腺炎组治愈率为87.72%。结论造影-介入是诊断和治疗慢性化脓性腮腺炎确切有效的方法。

Objective To study the value of parotid sialography and intervention in the diagnosis and treatment of chronic pyogenic parotitis.Methods Undertake the technique of parotid sialography with48%Lipiodol ultra-fluide(France)under X-ray upon78patients who were given systemic anti-infections and supporting treatments only with non-obvious-results,and classify all the cases into chronic obstructive(21cases)and nonobstructive parotitis(57cases)accoding to the results of sialography through microcatheter,then go on with bacterial cuture and drug sensitivity test.Filling treatments were carried out on obstructive parotitis cases through the duct with mixed liquor consisting of2%lidocanine,1%methylviolet.In the same way,α-chymotrypsin,amikacin,lidocaine was used in nonobstructive cases.Results The cure rate of chronic obstructive parotitis was80.95%,the cure rate of chronic nonobstructive parotitis was87.72%,Conclusion The method of parotid sialography and intervention in the diagnosis and treatment of chronic pyogenic parotitis is an effective way to treat chronic pyogenic parotitis.