摘要
目的:分析75例潜突型舌下腺囊肿的临床表现及治疗。总结其诊断及治疗特点。方法:收集1998年1月至2008年8月期间因潜突型舌下腺囊肿在武汉市第一医院口腔科接受手术治疗的病例75例,收集病史。使用彩色超声检查及局部穿刺辅助诊断。经口内手术摘除舌下腺,颌下区囊肿穿刺抽吸后持续加压包扎,促进囊肿吸收。结果:75例患者中有30例患者入院前曾于别处就诊,其中26例发生误诊。75例患者中有70例患者术前患侧颌下区彩色超声检查明确提示颌下区囊肿,术前局部穿刺均抽吸出淡黄色囊性液。75例患者中有65例在术后1周内囊肿消退。10例患者在术后1个月内囊肿消退。结论:潜突型舌下腺囊肿易发生误诊,彩色超声检查和局部穿刺是有效的辅助检查手段,完整摘除舌下腺并辅以颌下区囊肿抽吸后持续加压包扎是治疗该病的有效方法。
Objective：To analyse the clinical character and treatment of 75 cases of plunge ranula. Methods：Seventy-five plung ranulae patients were collected from January 1998 to August 2008. All patients were under operation in the First Hospital of Wuhan. The disease histories were collected. Colour ultrasound and puncture examination were used to help achieving diagnosis. Sublingual gland was dissected by oral approach. Mucus was extracted by puncture. Continuous pressure was given to ranula by binding up from submandible to help absorption of ranula. Results：Thirty patients in the 70 cases had been diagnosed in other hospital before coming to our department,among them,26 cases were diagnosed wrongly. The ranulas of 70 cases were showed clearly in colour ultrasound examination. Primrose yellow mucus can be extracted from ranula in all 75 patients. 65 cases of ranula faded away among one week,and 10 in one month. Conclusion：Plunge ranula is easily to be wrongly diagnosed. Colour ultrasound and puncture examination are valuable in the diagnosis of plunge ranula. The complete resection of sublingual gland and continuous pressure given to ranula from submandible after extraction of mucus are effective therapy methods.
出处
《口腔医学研究》
CAS
CSCD
北大核心
2009年第2期204-205,共2页
Journal of Oral Science Research
