口腔唾液腺内镜的临床操作及技能培训规范

doi:10.7518/hxkq.2025.2024400

华西口腔医学杂志 ›› 2025, Vol. 43 ›› Issue (3): 448-454.doi: 10.7518/hxkq.2025.2024400

• 经验介绍 • 上一篇

口腔唾液腺内镜的临床操作及技能培训规范

张博文¹(), 门乙², 韩波¹^,²()

^1.口腔疾病防治全国重点实验室国家口腔医学中心国家口腔疾病临床医学研究中心四川大学华西口腔医院舒适治疗中心/日间手术中心，成都 610041
^2.口腔疾病防治全国重点实验室国家口腔医学中心国家口腔疾病临床医学研究中心四川大学华西口腔医院头颈肿瘤外科，成都 610041

收稿日期:2024-11-02 修回日期:2025-04-17 出版日期:2025-06-01 发布日期:2025-06-10
通讯作者: 韩波 E-mail:405107934@qq.com;paulhanbo@163.com
作者简介:张博文，主治医师，博士，E-mail：405107934@qq.com
基金资助:
国家自然科学基金(82103673);中国博士后科学基金(2020M683333)

Clinical application and skill training of sialoendoscopy

Zhang Bowen¹(), Men Yi², Han Bo¹^,²()

^1.State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Comfort Treatment Center/Day Surgery Center, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
^2.State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases & Dept. of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China

Received:2024-11-02 Revised:2025-04-17 Online:2025-06-01 Published:2025-06-10
Contact: Han Bo E-mail:405107934@qq.com;paulhanbo@163.com
Supported by:
National Natural Science Foundation of China(82103673);China Postdoctoral Science Foundation(2020M683333)

摘要/Abstract

摘要：

唾液腺内镜的出现，根本性地改变了唾液腺疾病的诊疗方式，对唾液腺疾病的诊治发挥了巨大作用。然而，全国范围内，能够熟练使用唾液腺内镜的口腔颌面外科医生数量较少，限制了其进一步的推广和应用。目前国内的口腔院校并未形成规范标准的唾液腺内镜医生的技能培训方案，需要进一步完善相关培训的内容和考核标准。本文通过临床和培训的相关经验，强调唾液腺内镜的临床操作规范和技能培训对于唾液腺内镜医生培养的重要作用，旨在推动唾液腺内镜治疗的普及和发展。

关键词: 口腔颌面外科, 唾液腺内镜, 技能培训

Abstract:

The emergence of sialoendoscopy has fundamentally altered and has played a huge role in the diagnosis and treatment of salivary gland diseases. However, nationwide, the number of oral and maxillofacial surgeons skilled in the use of sialoendoscopy is very small, which limits its further promotion and application. No standardized training program is currently available for sialoendoscopy in domestic stomatology colleges, and the content and assessment standards of relevant training needs further improvement. Based on relevant clinical and teaching experience, this paper emphasizes the important role of clinical application and skill training for sialoendoscopy, with the aim of promoting the popularization and development of sialoendoscopic therapy.

Key words: oral and maxillofacial surgery, sialoendoscopy, skill training

中图分类号:

R782

张博文, 门乙, 韩波. 口腔唾液腺内镜的临床操作及技能培训规范[J]. 华西口腔医学杂志, 2025, 43(3): 448-454.

Zhang Bowen, Men Yi, Han Bo. Clinical application and skill training of sialoendoscopy[J]. West China Journal of Stomatology, 2025, 43(3): 448-454.

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类型		临床表现	病因	处理方式
急性唾液腺炎	病毒性腮腺炎	双侧腮腺区域红、肿、热、痛	病毒感染	支持治疗或者观察
	急性化脓性唾液腺炎	多为单侧腺体区域红、肿、热、痛，脓肿形成	细菌感染	抗生素、腺体按摩、局部热敷、促进唾液分泌
慢性唾液腺炎	慢性阻塞性唾液腺炎	反复发作疼痛和肿胀；进食后加重；反复感染	结石、异物、导管狭窄	腺体按摩、促进唾液分泌；唾液腺内镜或手术治疗
	慢性复发性唾液腺炎	反复发作疼痛和肿胀；进食后加重；反复感染	可能受细菌或免疫因素影响	腺体按摩、促进唾液分泌；唾液腺内镜治疗
	全身因素相关唾液腺炎	反复发作疼痛和肿胀；进食后加重；反复感染	放射线、舍格伦综合征、其他免疫相关疾病等	腺体按摩、促进唾液分泌；唾液腺内镜治疗；全身对症治疗

口腔唾液腺内镜的临床操作及技能培训规范

Clinical application and skill training of sialoendoscopy

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