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-  2018 

口内入路行颌下腺导管深部结石取出术
Intraoral Approach to Remove Proximal Submandibular Gland Duct Stone

DOI: 10.13701/j.cnki.kqyxyj.2018.07.021

Keywords: 颌下腺导管,涎石症,手术入路,结石取出术,
Submandibular gland duct
,Sialolithiasis,Surgery approach,Stone removement operation

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Abstract:

摘要 目的:探讨口内入路行颌下腺导管深部结石取出术方法,观察术后疗效及并发症。方法:对诊断为颌下腺导管深部结石并经口内入路行结石取出术者随访,对术后短期并发症,长期随访并发症进行总结。结果: 共81例颌下腺导管深部结石经口内入路完成结石取出术,术后24~36 h口内伤口有少量渗血,未经特殊处理,出血自行停止,34例术后感患侧舌尖麻木,83例患者术后第2天感舌活动受影响。术后1个月65例复诊,患者未诉口干症状,伤口均愈合良好,舌体运动无明显受限,舌尖无麻木感,患侧舌下区无明显肿大。进食时患侧颌下区肿大症状治愈,43例挤压患侧颌下腺可见颌下腺导管口有明显唾液流出。结论: 口内入路行颌下腺导管结石取出术手术成功率高,手术并发症少,避免颌面部疤痕、能保留腺体功能的优点

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