现代口腔医学杂志2024,Vol.38Issue(5) :331-334.

43例儿童复发性腮腺炎碘化油灌注疗效观察

A retrospective study of Lipiodol irrigation in patients of juvenile recurrent parotitis

郭玉娇 赵阳阳 李明哲 陈卓 于国霞
现代口腔医学杂志2024,Vol.38Issue(5) :331-334.

43例儿童复发性腮腺炎碘化油灌注疗效观察

A retrospective study of Lipiodol irrigation in patients of juvenile recurrent parotitis

郭玉娇 1赵阳阳 1李明哲 1陈卓 1于国霞1
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作者信息

  • 1. 100045 首都医科大学附属北京儿童医院
  • 折叠

摘要

目的 本研究拟结合临床表现、腮腺B超及腮腺造影表现对儿童复发性腮腺炎进行分类,分析碘化油腮腺导管灌注治疗儿童复发性腮腺炎的疗效.方法 对43例儿童复发性腮腺炎患儿进行临床检查、B超检查及碘化油灌注治疗,分析总结其临床特点,比较分析造影片与B超声像图,对儿童复发性腮腺炎进行轻、中、重度分类,随访12-48个月,对比分析治疗前后患儿腮腺炎发作次数及症状.结果 43例儿童复发性腮腺炎患儿行1-5次灌注治疗.初次碘化油灌注造影后,29名患儿未再行灌注,3名患儿行1次灌注,4名患儿行2次灌注,4名患儿行3次灌注,另有1名患儿行4次灌注治疗.最后一次治疗后12个月内腮腺炎未再发作17例(39.5%),发作1次17例(39.5%),发作2次5例(11.6%),较治疗前加重有2例(4.7%),失访2例(4.7%).不同程度儿童复发性腮腺炎,碘化油灌注后显效率不一致,轻度、中度、重度者显效率分别为83.3%,50.0%,34.8%.结论 碘化油灌注对儿童复发性腮腺炎具有重要诊疗价值,推荐在病情较轻的合适时机早期进行治疗,能够取得较好的效果,病情越重,治疗效果越差.

Abstract

Objective To elaborate on the classification of Juvenile recurrent parotitis(JRP)based upon clinical manifestation,ultrasonic and sialographic appearances,and to evaluate the effect of Lipiodol irrigation.Methods Forty-three patients with JRP underwent ultrasonic examination and Lipiodol sialographic inspection/irrigation procedures.The clinical characteristic of JRP was summarized,severity of illness was classified,and the effect of Lipiodol irrigation was analyzed.All patients were followed up periodically after treatment.Results Forty-three patients with JRP underwent 1-5 times of Lipiodol irrigations.During the 12 months follow-up after last irrigation,17patients(39.5%)went well without recurrence,17 patients(39.5%)recurred once,5 patients(11.6%)suffered recurrence for twice,while another 2 patients(4.7%)felt worse,2 patients lost to follow-up(4.7%).JRP can be classified as mild,moderate,and severe lesion with different effective rate of 83.3%,50.0%,and 34.8%separatly.Conclusion Lipiodol irrigation is valuable for the diagnosis and treatment of JRP.Early treatment is more effective when the lesion is mild.

关键词

儿童复发性腮腺炎/碘化油灌注/腮腺造影/治疗

Key words

Juvenile recurrent parotitis/Lipiodol irrigation/Sialography/Therapeutic technique

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基金项目

国家重点研发计划(2016YFC1000804)

出版年

2024
现代口腔医学杂志
河北医科大学口腔医学院

现代口腔医学杂志

CSTPCD
影响因子:0.536
ISSN:1003-7632
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