舌下腺囊肿手术治疗效果探讨(1)
[摘要] 目的 探討舌下腺囊肿手术治疗效果。方法 方便选择2017年6月—2018年9月期间在该院治疗的90例舌下腺囊肿患者，将所有患者随机分为观察组与对照组，每组45例，观察组行舌下腺囊及囊肿切除术，对照组采取非手术方法治疗，将两组手术治疗效果及术后随访情况进行对比分析。 结果 观察组45例患者均顺利完成手术，37例术后放置橡皮片引流，8例未放置橡皮片引流，拆线后切口愈合良好，44例符合临床治愈标准，治愈率达到97.78%，术后未见出血、感染、呼吸困难等并发症，有1例在进食后颌下区有肿痛感，1例出现颌下腺炎，经过治疗后痊愈，随访1年未见复发。对照组有3例患者在首次注射时无法忍受疼痛，经过沟通同意接受治疗，术后随访1年，有6例患者复发，复发率为13.3%，观察组治愈率(97.78% vs 80.0%)与复发率(0.0% vs 13.3%)均明显优于对照组(χ2=13.725、9.813，P<0.05)。结论 舌下腺及囊肿切除术治疗舌下腺囊肿疗效显著，效果优于非手术治疗方法，是防止复发的最佳方法，加强术中操作和术后观察能够有效减少并发症的发生，促使患者早日康复。
[关键词] 舌下腺囊肿;手术治疗;复发;并发症
[中图分类号] R782 [文献标识码] A [文章编号] 1674-0742(2020)02(b)-0074-03
Discussion on Operative Treatment of Sublingual Cyst a Report of 90 Cases
LIU Chun-hai
Department of Stomatology， Honghe First People's Hospital of Yunnan Province， Mengzi， Yunnan Province， 661100 China
[Abstract] Objective To investigate the effect of surgical treatment of sublingual gland cyst. Methods Ninety patients with sublingual gland cysts treated in our hospital from June 2017 to September 2018 were convenienty divided into observation group and control group， 45 cases in each group， sublingual gland cysts and cysts were resected in observation group and non-surgical treatment in control group， the therapeutic effect and follow-up after operation were compared and analyzed between the two groups. Results In the observation group， 45 patients successfully completed the operation， 37 patients placed rubber drainage after operation， 8 patients did not place rubber drainage， and the incision healed well after thread removal. 44 patients met the clinical cure standard， the cure rate was 97.78%， no complications such as bleeding， infection and dyspnea were found after operation， one patient had swelling and pain in the submandibular region after eating， the case presented with submandibular adenitis and recovered after treatment， no recurrence was found in the follow-up for 1 year. Three patients in the control group could not tolerate pain at the first injection， after one year of follow-up， 6 patients relapsed with a recurrence rate of 13.3%， the cure rate (97.78% vs 80.0%) and recurrence rate(0.0%vs 13.3%) in the observation group were significantly better than those in the control group(χ2=13.725， 9.813，P<0.05). Conclusion Sublingual gland and cyst excision is the best method to prevent recurrence， strengthening intraoperative and postoperative observation can effectively reduce the occurrence of complications and promote early recovery of patients., http://www.100md.com(刘春海)
[关键词] 舌下腺囊肿;手术治疗;复发;并发症
[中图分类号] R782 [文献标识码] A [文章编号] 1674-0742(2020)02(b)-0074-03
Discussion on Operative Treatment of Sublingual Cyst a Report of 90 Cases
LIU Chun-hai
Department of Stomatology， Honghe First People's Hospital of Yunnan Province， Mengzi， Yunnan Province， 661100 China
[Abstract] Objective To investigate the effect of surgical treatment of sublingual gland cyst. Methods Ninety patients with sublingual gland cysts treated in our hospital from June 2017 to September 2018 were convenienty divided into observation group and control group， 45 cases in each group， sublingual gland cysts and cysts were resected in observation group and non-surgical treatment in control group， the therapeutic effect and follow-up after operation were compared and analyzed between the two groups. Results In the observation group， 45 patients successfully completed the operation， 37 patients placed rubber drainage after operation， 8 patients did not place rubber drainage， and the incision healed well after thread removal. 44 patients met the clinical cure standard， the cure rate was 97.78%， no complications such as bleeding， infection and dyspnea were found after operation， one patient had swelling and pain in the submandibular region after eating， the case presented with submandibular adenitis and recovered after treatment， no recurrence was found in the follow-up for 1 year. Three patients in the control group could not tolerate pain at the first injection， after one year of follow-up， 6 patients relapsed with a recurrence rate of 13.3%， the cure rate (97.78% vs 80.0%) and recurrence rate(0.0%vs 13.3%) in the observation group were significantly better than those in the control group(χ2=13.725， 9.813，P<0.05). Conclusion Sublingual gland and cyst excision is the best method to prevent recurrence， strengthening intraoperative and postoperative observation can effectively reduce the occurrence of complications and promote early recovery of patients., http://www.100md.com(刘春海)