华西口腔医学杂志 ›› 2019, Vol. 37 ›› Issue (5): 505-508.doi: 10.7518/hxkq.2019.05.010

• 临床研究 • 上一篇    下一篇

先天性颌下腺导管扩张症的临床诊治

李立琪,李万山,钟渝翔,李怡君,项立,梁丽,廖礼姝()   

  1. 重庆医科大学附属儿童医院口腔科 儿童发育疾病研究教育部重点实验室 儿童发育重大疾病国家国际科技合作基地 儿科学重庆市重点实验室, 国家儿童健康与疾病临床医学研究中心(重庆),重庆 400014
  • 收稿日期:2019-03-21 修回日期:2019-07-19 出版日期:2019-10-01 发布日期:2019-10-15
  • 通讯作者: 廖礼姝 E-mail:susanna821209@163.com
  • 作者简介:李立琪,住院医师,硕士,E-mail:liliqi-1988@163.com

Diagnosis and treatment of congenital submandibular duct dilatation

Li Liqi,Li Wanshan,Zhong Yuxiang,Li Yijun,Xiang Li,Liang Li,Liao Lishu()   

  1. Dept. of Stomatology, Children’s Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders (Chongqing), Chongqing 400014, China
  • Received:2019-03-21 Revised:2019-07-19 Online:2019-10-01 Published:2019-10-15
  • Contact: Lishu Liao E-mail:susanna821209@163.com

摘要:

目的 探讨先天性颌下腺导管扩张症的临床特点及治疗方法。方法 2008年1月—2018年3月共收治7例先天性颌下腺导管扩张患儿,平均年龄5月22天;临床上表现为单侧的口底膨隆肿胀。7例患儿均在全麻下行患侧舌下腺腺体切除、颌下腺扩张部分导管切除及导管改道术,术中可见颌下腺导管口狭窄,部分导管呈扩张状态。结果 7例患者术后口底创口均愈合良好,无肿胀及囊肿发生。结论 先天性颌下腺导管扩张症患儿的发生年龄小,早期诊断与治疗有助于防止导管扩张加重,避免腺体萎缩、喂养困难以及阻塞呼吸;舌下腺腺体的同期切除可以避免术后舌下腺囊肿的发生。

关键词: 先天性颌下腺导管扩张症, 诊断, 病理, 治疗

Abstract:

Objective To study the clinical features and treatments of congenital submandibular duct dilatation. Methods Seven children with congenital submandibular duct dilatation from January 2008 to March 2018 were included in this study, whose average age was 5 months and 22 days. The clinical manifestations are unilateral swelling of the mouth floor. All seven children underwent sublingual gland resection, submandibular gland dilatation catheter resection, and catheter reroute under general anesthesia. Intraoperatively, the orifice of the submandibular gland was constricted and part of the catheter was dilated. Results All seven patients had good healing without swelling or cyst formation. Conclusion Congenital submandibular duct dilatation occurs at a young age. Early diagnosis and treatment can help prevent further expansion of the catheter and avoid gland atrophy, feeding difficulty, and breathing obstruction. Simultaneous excision of the sublingual gland can avoid the formation of postoperative sublingual cyst.

Key words: congenital submandibular duct dilatation, diagnose, pathology, treatment

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