225例舌下腺囊肿临床分析
Clinical analysis of 225 cases of sublingual gland cyst
刘蕾 1王祥军 1谢卫红 1李新明1
作者信息
- 1. 450052 郑州大学第一附属医院口腔颌面外科
- 折叠
摘要
目的 初步总结不同类型舌下腺囊肿的诊断,治疗及预后.方法 对2001年2月至2011年5月11年间经口腔颌面外科手术治疗有完整资料的225例舌下腺囊肿患者的临床资料进行总结,对其类型比例、年龄分布,诊断方式及治疗方式进行回顾性分析.结果 总结不同类型舌下腺囊肿的比例为单纯型占66.7％,口外型占21.8％,哑铃型占11.5％.青年人多发.诊断以穿刺为主,口外型穿刺加超声检查,准确率96.9％.治疗以口内切口行腺体及与其相粘连的囊肿摘除为主要治疗方式,对口外型囊肿行口内或口内口外联合切口手术切除,术后术区加压包扎3～7d.术后复发1例,复发率为0.4％.结论 单纯型及哑铃型采取穿刺检查为常规诊断方式,口外型需穿刺加彩超检查并结合临床表现为诊断方式,行口内切口完整摘除舌下腺手术是根治舌下腺囊肿避免复发的关键.
Abstract
Objective To summarize the clinical diagnosis,treatment and prognosis of different types of sublingual gland cyst.Methods The clinical data of 225 cases of sublingual gland cyst from Feb,2001 to May,2011 were retrospectively analyzed.Results Out of the 225 cases,simple cyst accounted for 66.7％,plunge ranula for 21.8％ and hybrid cyst accounted for 11.5％,the accuracy rate of diagnosis was 96.9％.Relapse rate was 0.4％.Conclusions Puncture examinations are essential in the diagnosis of simple cyst and hybrid cyst.Color Doppler,puncture examination and symptom are essential in the diagnosis of plunge ranula.The key to successful management for sublingual gland cyst is the excision of related sublingual gland,with the intra oral approach.
关键词
舌下腺囊肿/诊断/治疗Key words
Sublingual gland/Diagnosis/Treatment引用本文复制引用
出版年
2012
NETL
NSTL
维普
万方数据