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目的 :评价自体动脉移植在修复腮腺导管缺损中的临床效果。方法 :回顾分析2003年8月—2012年12月应用自体动脉重建腮腺导管的6例患者资料。通过临床观察、腮腺造影检查评价治疗效果。随访时间为1个月~9 a。结果:术后随访1个月~2 a,6例患者腮腺无肿胀,腮腺导管通畅,腮腺分泌功能正常;术后2~9 a,患者双侧腮腺基本对称,挤压腮腺,2例腮腺导管有少量唾液分泌。腮腺造影显示重建区导管狭窄;3例腮腺导管无唾液分泌;1例患者失访。结论:采用自体动脉重建腮腺导管,近期效果良好。但从远期疗效来看,自体动脉不适合重建腮腺导管。
OBJECTIVE: To evaluate the clinical effect of autologous artery grafts in repair of parotid ductal defects. Methods: The data of 6 patients who underwent autologous artery reconstruction of the parotid duct from August 2003 to December 2012 were retrospectively analyzed. Through clinical observation, parotid gland examination to evaluate the therapeutic effect. Follow-up time was 1 month ~ 9 a. RESULTS: Six months postoperatively, the parotid gland had no swelling, the parotid duct was unobstructed, and the secretion of the parotid gland was normal. The parotid glands were symmetrical between 2 and 9 days after operation, the parotid glands were compressed and the parotid gland in 2 patients A small amount of saliva secretion. Parotid gland angiography showed reconstruction of catheter stenosis; 3 cases of parotid duct salivary secretion; 1 patient lost. Conclusion: Autologous artery reconstruction of parotid duct, the recent good effect. However, long-term efficacy, autologous artery is not suitable for reconstructing the parotid duct.