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潜突型舌下腺囊肿75例临床分析

Clinical analysis on sublingual plunge ranula of 75 cases
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摘要 目的分析潜突型舌下腺囊肿的诊断和复发的主要原因以及治疗方法,总结特点,避免临床上误诊误治。方法对1998年1月—2008年8月经治疗的颌下区潜突型舌下腺囊肿75例进行总结分析,其中50例经口内进路手术摘除舌下腺,25例行穿刺抽出囊液并用硬化剂治疗,对两种治疗方法从术后疼痛、复发、局部肿胀等方面进行分析比较。结果 75例经局部检查、穿刺检查及淀粉酶检查,辅助B超检查作出颌下区潜突型舌下腺囊肿诊断,手术治疗患者与采用硬化剂治疗患者在术后疼痛分级上的差异有统计学意义(P<0.05),但在局部肿胀、复发率方面的差异无统计学意义。结论潜突型舌下腺囊肿易发生误诊,彩色超声检查、颌下区局部触及柔软囊性肿物、穿刺抽出蛋清样粘稠丝状液体及淀粉酶检查阴性,是颌下区舌下腺囊肿的诊断依据,手术彻底摘除舌下腺是治疗成功的关键。 Objective To summ up the characteristics by analyzed the potential conflict-based sublingual gland cyst diagnosis and treatment in order to avoid the clinical misdiagnosis.Methods From January 1998-August 2008,the potential treatment of submandibular area suddenly sublingual gland cyst type in 75 cases were analyzed.50 cases were taken the removal of the sublingual gland,25 were out of routine puncture of cyst fluid and with sclerotherapy.The postoperative pain,recurrence,local swelling and other aspects of two treatmen were analyzed and compared.Results Senventy patients with partial examination,biopsy,B-ultrasound assisted submandibular area to potential conflict based sublingual gland cyst diagnosed,treated by surgery in 50 patients with the use of sclerotherapy in patients with postoperative pain grading difference was statistically significant with sclerotherapy(P〈0.05).There was no significant difference in local swelling,the recurrence rate in two treatments.Conclusion The plunge ranula type sublingual gland cyst may misdiagnosed easily.Color Doppler ultrasound examination,submandibular cystic mass part of the region hit a soft,thick needle-like filaments out of the liquid egg white and starch enzymes were negative,the submandibular area sublingual gland cystthe were sublingual gland cyst diagnosis features. Complete surgical removal of the sublingual gland is the key to successful treatment.
出处 《新疆医科大学学报》 CAS 2011年第9期993-995,999,共4页 Journal of Xinjiang Medical University
关键词 舌下腺囊肿 潜突型 病因 诊断 治疗 sublingual gland syst potential conflict-based type cause of disease diagnose treatment
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