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目的:讨论唾液腺ECT和涎腺镜在慢性阻塞性腮腺炎诊断和治疗中的作用。方法:44例患者经过唾液腺造影和ECT检查,根据结果,采用庆大霉素灌洗和碘化油注射导管扩张或施行内镜辅助下结石取出术。结果:经过ECT和内镜检查,发现患者腮腺的分泌功能良好而排泌功能异常。主导管表现为管腔狭窄,管壁充血,管腔内有大量絮状增生物及黏液栓子,管壁可见息肉样增生,导管内可见结石。治疗后患者症状明显改善。结论:ECT和内镜为慢性阻塞性腮腺炎的诊断提供了强有力的证据,并且对阻塞性腮腺炎的治疗具有一定指导作用。
OBJECTIVE: To discuss the role of salivary gland ECT and salivary glandoscopy in the diagnosis and treatment of chronic obstructive parotitis. Methods: Forty-four patients underwent salivary gland angiography and ECT examination. According to the results, gentamicin lavage and iodized oil injection catheter were used for expansion or endoscopic assisted lithotripsy. Results: After ECT and endoscopy, it was found that the parotid gland secretion in patients with good and excretory function abnormalities. The main performance of the main duct stenosis, congestion of the tube wall, a large number of flocculent hyperplasia of the lumen and mucus emboli, polyp hyperplasia of the wall can be seen, visible stones within the catheter. After treatment, the patient’s symptoms improved significantly. CONCLUSIONS: ECT and endoscopy provide strong evidence for the diagnosis of chronic obstructive parotitis and are instructive in the treatment of obstructive parotitis.