论文部分内容阅读
目的:评价涎腺内镜在慢性颌下腺炎病因诊断中的价值。方法:对78例因颌下腺反复肿胀就诊的患者行颌下腺涎腺内镜检查,明确导管系统的病变。结果:7例因导管重度狭窄放弃检查,71例完成涎腺内镜检查(91.0%)。59例通过涎腺内镜可发现明确的导管系统病变,其中结石31例,23例存在导管增生扩张、粘液栓及纤维素样渗出形成;导管息肉2例,导管畸形2例。多数病例导管内壁可见不同程度的充血、糜烂性炎症。此外,12例患者通过内镜未发现可观察到的明确的病变。结论:涎腺内镜可直观、有效地观察颌下腺导管系统的病变,具有较高的诊断价值。
Objective: To evaluate the value of salivary gland endoscopy in the etiological diagnosis of chronic submandibular glanditis. Methods: 78 cases of patients with repeated swelling of the submandibular gland underwent endoscopic salivary gland examination of the submandibular gland to clarify the pathological changes of the ductal system. Results: Seven patients were given up for severe stenosis and 71 patients (91.0%) for salivary gland endoscopy. 59 cases of salivary gland endoscopy can be found clear ductal system lesions, including 31 cases of stones, ductal hyperplasia and expansion in 23 cases, mucus plug and cellulose-like exudation; catheter polyps in 2 cases, ductal malformations in 2 cases. The majority of cases showed varying degrees of catheter wall congestion, erosive inflammation. In addition, no clear lesions were observed in 12 patients by endoscopy. Conclusion: Salivary gland endoscopy can directly and effectively observe the pathological changes of the submandibular gland duct system, which has high diagnostic value.