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作者开始只对临床和涎腺造影怀疑有肿瘤的口眼干燥、关节炎(Sjogren)综合症病例作了手术。采用保守的腮腺切除术,保证了面神经的功能。术后不同时期的随访发现几乎所有进行了保守的腮腺切除术和颌下腺切除术的病人,全身情况均有明显的改进。有些病例全身情况的改善可从实验室检查证实之。根据这些经验,作者对无肿瘤变化,但是有一个或两个涎腺长期肿大而保守治疗无效的Sjogren综合症病人也作了手术。843例各种涎腺疾病中,81例有两个或两个以上Sjogren综合症的典型症状。这类
The authors began surgery on dry eye and mouth of suspected patients with Sjogren's syndrome in clinical and salivary gland only. The use of conservative parotid excision ensures facial nerve function. Follow-up at different postoperative periods found that almost all patients undergoing conservative parotidectomy and submandibular gland resection showed significant improvement over the general condition. The improvement of the general condition in some cases can be confirmed by laboratory tests. Based on these experiences, the authors also performed surgery on patients without Sjogren's syndrome who had no tumor change but had one or two salivary glands that had been swollen for a long time and failed conservative treatment. Of the 843 cases of various salivary gland diseases, 81 had typical symptoms of two or more Sjogren's syndromes. This class