内镜切除术:优化质石病的管理
F Almeida-Parra1, Á Ranz-Colio, Á Bueno-de-Vicente
1Servicio de Cirugía Oral y Maxilofacial Hospital Universitario Ramón y Cajal Carretera de Colmenar km 9,100. 28034, Madrid dr.falmeidaparra@gmail.com.
Medicina oral, patologia oral y cirugia bucal
|March 23, 2025
概括
用于唾液结石的内镜石术非常成功,减少了需要切除腺体的需要. 这种最少的侵入性方法为唾液腺结石患者提供了很高的成功率和很少的严重并发症.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 口腔和牙面部外科手术
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 石病经常影响主要的唾液腺,特别是下腺.
- 内镜式光三已经成为一种首选的治疗方法,减少了腺切除术的必要性.
研究的目的:
- 为了评估内镜石治疗唾液结石的疗效和结果.
- 评估与这种微创手术相关的并发症率.
主要方法:
- 77名唾液腺结石患者的回顾性审查 (2020年1月 - 2024年1月).
- 纳入标准:小于8毫米的质病.
- 随访包括临床检查和CT扫描,平均随访时间为17个月.
主要成果:
- 在89.61%的患者 (77人中有69人) 中,成功提取石头.
- 平均石块大小为6.68毫米,主要位于部,中间管道或背脊部区域.
- 由于手术失败或术后狭窄,10名患者需要进行腺切除术;6名患者经历了狭窄,其中3人通过内镜扩张得到缓解.
结论:
- 对质石的极小侵入性口腔内手术显示出高的成功率.
- 这种方法显著减少了对激进腺体手术的需要.
- 这种手术与严重并发症的发生率较低有关.
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