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笔者采用颊部插管造瘘及缝扎造瘘重建涎液排泄通道5例,全部治愈,现将治疗体会及方法介绍于下。例1,何某。男,农民,35岁。因右侧面部切割伤经缝合痊愈半月后,面部不断肿大,进食胀痛,在当地多次穿刺抽出液体。查:右侧面部有斜行瘢痕,咀肌区可扪及4.5cm大小肿块。突向颊部,囊性感、压痛,挤压腮腺区,导管口无腺液溢出。从口内肿块穿刺可见涎液。诊断:假性腮腺囊肿。处理:在口内肿块、最低处刺入16号输血针头,可见涎液自针孔喷出,立即从针头孔内插入1.5—2mm塑料管(最好使用硬膜外麻醉用塑料管),见涎液从塑料管内流出,再前送塑料管2cm,以防术后滑出。左手固定塑料管,右手慢慢拔出针头,颊粘膜缝扎固定塑料管。三周拔管。进食及食酸性食物腮腺区无肿痛感。二年随访,未见复发,挤压腮腺区,颊部造瘘口有涎液流出。
The author used cheek intubation fistula and suture fistula reconstruction salivary discharge channel in 5 cases, all cured, now the treatment experience and methods introduced in the next. Example 1, Hemou. Male, farmer, 35 years old. Due to the right side of the face cut wounds after suture cured half a month, the face continued to enlarge, eating pain, multiple puncture in the local out of the liquid. Check: the right side of the face with oblique scars, Tsui muscle area palpable 4.5cm size of the tumor. Suddenly cheek, cystic sexy, tenderness, squeeze the parotid gland area, catheter port no gland fluid overflow. Salivary fluid can be seen from the intraoral tumor puncture. Diagnosis: False parotid cyst. Treatment: In the mouth of the tumor, the lowest piercing the 16th needle, showing saliva from the pinhole, immediately inserted from the needle hole 1.5-2mm plastic tube (preferably with epidural anesthesia plastic tube), see saliva Liquid from the plastic tube outflow, and then sent to the plastic tube 2cm, to prevent postoperative slide out. Left hand fixed plastic tube, the needle slowly pull out the right hand, buccal mucosa suture fixation plastic tube. Extubation three weeks. Eating and sour food parotid gland area no pain and flu. Two years of follow-up, no recurrence, squeeze parotid gland area, buccal fistula saliva flow out.