袋形术和微创手术在舌下腺囊肿治疗中的应用

Application of marsupialization and minimally invasive surgery in the treatment of ranula

舌下腺囊肿的诊断及病理机制较为明确,但其治疗方法的选择尚无统一标准。袋形术曾是治疗舌下腺囊肿的一线选择,然而单纯的袋形术治疗术后复发率较高。随着术式的不断改进,适应证的合理选择,特别是微创手术的应用,术后复发率显著降低。袋形术和微创手术对于治疗舌下腺囊肿患儿及因其他原因无法接受舌下腺切除术的舌下腺囊肿患者具有独特的优势。文章就袋形术和微创手术在舌下腺囊肿治疗中的应用做一概述。

Although the diagnosis of ranula is easy and the pathogenesis of ranula is widely known,the optimum treatment of ranula is hard to decide.Marsupialization was once considered as the first choice for the treatment of ranula;however,recurrence rates of marsupialization alone were high.The developments of marsupialization,including the improvement of procedure,the choice of conditions and especially the application of minimally invasive surgery,have dramatically reduced the recurrence rate of marsupialization.Marsupialization and minimally invasive surgery demonstrate their special roles in the treatment for ranula in pediatric patients and the patients who cannot receive the sublingual gland excision due to some medical reasons.In this review,we made a summary of application of marsupialization and minimally invasive surgery in the treatment of ranula.