CAJ | 학술논문

目的：评价涎腺内镜在慢性颌下腺炎病因诊断中的价值。方法：对78例因颌下腺反复肿胀就诊的患者行颌下腺涎腺内镜检查，明确导管系统的病变。结果：7例因导管重度狭窄放弃检查，71例完成涎腺内镜检查（91．0％）。59例通过涎腺内镜可发现明确的导管系统病变，其中结石31例，23例存在导管增生扩张、粘液栓及纤维素样渗出形成；导管息肉2例，导管畸形2例。多数病例导管内壁可见不同程度的充血、糜烂性炎症。此外，12例患者通过内镜未发现可观察到的明确的病变。结论：涎腺内镜可直观、有效地观察颌下腺导管系统的病变，具有较高的诊断价值。
목적：평개연선내경재만성합하선염병인진단중적개치。방법：대78례인합하선반복종창취진적환자행합하선연선내경검사，명학도관계통적병변。결과：7례인도관중도협착방기검사，71례완성연선내경검사（91．0％）。59례통과연선내경가발현명학적도관계통병변，기중결석31례，23례존재도관증생확장、점액전급섬유소양삼출형성；도관식육2례，도관기형2례。다수병례도관내벽가견불동정도적충혈、미란성염증。차외，12례환자통과내경미발현가관찰도적명학적병변。결론：연선내경가직관、유효지관찰합하선도관계통적병변，구유교고적진단개치。
Objective:To evaluate the value of sialodenoscopy for etiologic diagnosis of chronic submandibular sialadenitis. Method:Seventy-eight patients presenting recurrent swelling of the submandibular gland were detected with sialodenoscopy. The features of the ductal system were observed by diagnostic endoscopy. Result:Seventy-one patients were accomplished the detection of sialodenoscopy (91.0%),and the remaining 7 patients gave up the detection because of seri-ous duct stenoses. The definite intraductal diseases were observed by the endoscopy in 59 patients , including sialoliths(31/78),ductal strictures and expansion, mucus plug and fibrinoid exudation,polyps (2/78) and ductal malformations(2/78). Inflammations on different degrees were found in the vast majority of above cases. In addition ,no obvious changes were detected by endoscopy in 12 patients. Conclusion:This study demonstrates sialodenoscopy as a promising new method has a high feasibility and effectiveness to diagnose the etiology of chronic submandibular sialadenitis.