单纯型舌下腺囊肿改良袋形治疗的临床效果分析(1)
【摘要】 目的：探讨改良袋形术治疗口内单纯型舌下腺囊肿的临床效果。方法：选取本院2012年
1月-2014年1月收治入院的口内单纯型舌下腺囊肿患者40例作为研究对象，所有患者均为首发病例，采用单纯型舌下腺囊肿改良袋形手术治疗，观察治疗效果、并发症发生率及复发情况。结果：改良袋形术治疗口内单纯型舌下腺囊肿患者40例，碘仿纱条去除后，囊壁上皮与周围正常口底黏膜基本愈合，随着时间的延长，愈合更牢固，正常口底黏膜取代了囊壁，颜色恢复正常。治愈34例(85.0%)，好转5例(12.5%)，治疗有效率为97.5%。经术后最长3年，最短半年随访，其中1例失访，随访后发现复发6例，复发率为15.0%，无其他术后并发症，口底黏膜颜色正常，舌活动自如，无异物感，可触及舌下腺，经检查舌下腺分泌功能正常，患者均比较满意。结论：改良袋形术是治疗单纯舌下腺囊肿有效的方法之一。复发率较传统的袋形术明显降低，针对特殊患者，值得推广。
【关键词】 单纯型舌下腺囊肿； 改良袋形术； 效果
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【Abstract】 Objective：To investigate the clinical effect of improved marsupialization in the treatment of intraoral simplex sublingual gland cyst.Method：40 patients with intraoral simplex sublingual gland cyst admitted to our hospital from January 2012 to January 2014 were selected as the research objects，all patients were the first case，they were given simplex sublingual gland cyst improved marsupialization surgical treatment，the therapeutic effect，complication incidence rate and recurrence rate of the patients were observed.Result：40 patients intraoral simplex sublingual gland cyst were treated with improved marsupialization， after the removal of iodoform gauze，sac epithelium and around the bottom of the mouth of the normal mucosal were basically healed，with the extension of time，healing more firmly，normal floor of mouth mucosa replaced the cyst wall，color returned to normal.34 cases(85.0%) were cured，5 cases(12.5%) were improved，the effective rate was 97.5%.They were followed for 6 months to 3 years，one patient lost to follow-up，6 cases of recurrence were found after follow-up，the recurrence rate was 15.0%.No other postoperative complications，floor of mouth mucous membrane color normal，the tongue freely，no foreign body sensation，could touch the sublingual gland，after inspection，the sublingual gland secretion function was normal.All the patients were more satisfied.Conclusion：Improved marsupialization is one of the effective method of in the treatment of simplex sublingual gland cyst，the recurrence rate is significantly lower than the traditional marsupialization，in view of the special patients，is worthy of promotion.
, 百拇医药
【Key words】 Simplex sublingual gland cyst； Improved marsupialization； Effect
First-author’s address：The Central People’s Hospital of Ji’an City，Ji’an 343000，China
doi：10.3969/j.issn.1674-4985.2015.32.040
舌下腺囊肿是唾液腺的黏液囊肿，因舌下腺位于口底黏膜下，有8～20个腺小叶及导管，位置表浅，导管可直接开口于口底黏膜，故易于罹患囊肿[1-2]。舌下腺囊肿最常见于青少年，多为外渗性囊肿，临床上分为单纯型、口外型、哑铃型。单纯型为最典型的舌下腺囊肿类型，占大多数[3]。目前国内外治疗舌下腺囊肿的方法很多，基本为保守治疗和手术治疗两种。对于儿童和年老体弱者或有严重系统疾病等不能耐受手术以及双侧同时发病的患者一般选择保守治疗[4]。对于多次复发的大囊肿或保守治疗无效，具备手术适应证的一般选择手术治疗[5]。往往临床上还会遇到不愿意做大手术且又惧怕注射药物不良反应，或对手术有极高要求的患者，需要一种可以理解并接受的治疗方式。舌下腺囊肿的治疗方法有多种，传统袋形术操作简单，但术后复发率高，舌下腺及囊肿摘除术是所有的治疗方法中复发率最低的，但是风险也是最大的，容易出现术后并发症[6-7]。而改良袋形术在传统袋形术的基础上做了改进，最大限度地切除了突出的囊肿，使囊液流尽，填塞碘仿纱条最大限度地使囊壁与周围正常黏膜愈合，从而降低了复发率。, http://www.100md.com(万志群)
1月-2014年1月收治入院的口内单纯型舌下腺囊肿患者40例作为研究对象，所有患者均为首发病例，采用单纯型舌下腺囊肿改良袋形手术治疗，观察治疗效果、并发症发生率及复发情况。结果：改良袋形术治疗口内单纯型舌下腺囊肿患者40例，碘仿纱条去除后，囊壁上皮与周围正常口底黏膜基本愈合，随着时间的延长，愈合更牢固，正常口底黏膜取代了囊壁，颜色恢复正常。治愈34例(85.0%)，好转5例(12.5%)，治疗有效率为97.5%。经术后最长3年，最短半年随访，其中1例失访，随访后发现复发6例，复发率为15.0%，无其他术后并发症，口底黏膜颜色正常，舌活动自如，无异物感，可触及舌下腺，经检查舌下腺分泌功能正常，患者均比较满意。结论：改良袋形术是治疗单纯舌下腺囊肿有效的方法之一。复发率较传统的袋形术明显降低，针对特殊患者，值得推广。
【关键词】 单纯型舌下腺囊肿； 改良袋形术； 效果
, http://www.100md.com
【Abstract】 Objective：To investigate the clinical effect of improved marsupialization in the treatment of intraoral simplex sublingual gland cyst.Method：40 patients with intraoral simplex sublingual gland cyst admitted to our hospital from January 2012 to January 2014 were selected as the research objects，all patients were the first case，they were given simplex sublingual gland cyst improved marsupialization surgical treatment，the therapeutic effect，complication incidence rate and recurrence rate of the patients were observed.Result：40 patients intraoral simplex sublingual gland cyst were treated with improved marsupialization， after the removal of iodoform gauze，sac epithelium and around the bottom of the mouth of the normal mucosal were basically healed，with the extension of time，healing more firmly，normal floor of mouth mucosa replaced the cyst wall，color returned to normal.34 cases(85.0%) were cured，5 cases(12.5%) were improved，the effective rate was 97.5%.They were followed for 6 months to 3 years，one patient lost to follow-up，6 cases of recurrence were found after follow-up，the recurrence rate was 15.0%.No other postoperative complications，floor of mouth mucous membrane color normal，the tongue freely，no foreign body sensation，could touch the sublingual gland，after inspection，the sublingual gland secretion function was normal.All the patients were more satisfied.Conclusion：Improved marsupialization is one of the effective method of in the treatment of simplex sublingual gland cyst，the recurrence rate is significantly lower than the traditional marsupialization，in view of the special patients，is worthy of promotion.
, 百拇医药
【Key words】 Simplex sublingual gland cyst； Improved marsupialization； Effect
First-author’s address：The Central People’s Hospital of Ji’an City，Ji’an 343000，China
doi：10.3969/j.issn.1674-4985.2015.32.040
舌下腺囊肿是唾液腺的黏液囊肿，因舌下腺位于口底黏膜下，有8～20个腺小叶及导管，位置表浅，导管可直接开口于口底黏膜，故易于罹患囊肿[1-2]。舌下腺囊肿最常见于青少年，多为外渗性囊肿，临床上分为单纯型、口外型、哑铃型。单纯型为最典型的舌下腺囊肿类型，占大多数[3]。目前国内外治疗舌下腺囊肿的方法很多，基本为保守治疗和手术治疗两种。对于儿童和年老体弱者或有严重系统疾病等不能耐受手术以及双侧同时发病的患者一般选择保守治疗[4]。对于多次复发的大囊肿或保守治疗无效，具备手术适应证的一般选择手术治疗[5]。往往临床上还会遇到不愿意做大手术且又惧怕注射药物不良反应，或对手术有极高要求的患者，需要一种可以理解并接受的治疗方式。舌下腺囊肿的治疗方法有多种，传统袋形术操作简单，但术后复发率高，舌下腺及囊肿摘除术是所有的治疗方法中复发率最低的，但是风险也是最大的，容易出现术后并发症[6-7]。而改良袋形术在传统袋形术的基础上做了改进，最大限度地切除了突出的囊肿，使囊液流尽，填塞碘仿纱条最大限度地使囊壁与周围正常黏膜愈合，从而降低了复发率。, http://www.100md.com(万志群)