CAJ | 학술논문

目的结合造影及涎腺内镜表现对慢性阻塞性腮腺炎进行分类,分析内镜治疗的价值.方法对43例慢性阻塞性腮腺炎患者进行内镜检查与治疗,分析造影与内镜图像特点.43例中累及双侧腮腺21例,单侧22例.根据病变程度,采取普通灌洗、机械扩张或球囊扩张等治疗,术后定期随访.结果 43例慢性阻塞性腮腺炎可分为3种,①轻度,主导管存在狭窄和扩张,但1.1 mm内镜可通过；②中度,主导管存在一处重度狭窄,内镜不能直接通过；③重度,主导管存在2处以上重度狭窄或弥漫性狭窄.经3 ～ 17个月的随访,效果评价为显效33侧,缓解18侧,无效11侧,失访2侧；总有效率82％ (51/62).结论涎腺内镜对慢性阻塞性腮腺炎具有重要诊疗价值.
목적 결합조영급연선내경표현대만성조새성시선염진행분류,분석내경치료적개치.방법 대43례만성조새성시선염환자진행내경검사여치료,분석조영여내경도상특점.43례중루급쌍측시선21례,단측22례.근거병변정도,채취보통관세、궤계확장혹구낭확장등치료,술후정기수방.결과 43례만성조새성시선염가분위3충,①경도,주도관존재협착화확장,단1.1 mm내경가통과；②중도,주도관존재일처중도협착,내경불능직접통과；③중도,주도관존재2처이상중도협착혹미만성협착.경3 ～ 17개월적수방,효과평개위현효33측,완해18측,무효11측,실방2측；총유효솔82％ (51/62).결론 연선내경대만성조새성시선염구유중요진료개치.
Objective To elaborate on the classification of chronic obstructive parotitis (COP) based upon endoscopic and sialographic appearances,and to evaluate the results of endoscopic intervention.Methods Forty-three patients with COP underwent endoscopic exploration and intervention procedures.They included 21 patients with bilateral COP and 22 patients with monolateral COP.The images of sialogaphy and endoscopy were analyzed and classified.The treatment options included saline irrigation,mechanical dilatation and balloon dilatation.All patients were followed up periodically after treatment.Results COP can be classified as:① mild lesion:the main duct has stenosis and ectasia,whereas the 1.1 mm endoscope can pass through easily ; ② moderate lesion:the main duct has one point of severe stricture which can not be passed by the 1.1 mm endoscope; ③ severe lesion:the main duct has two points of severe strictures or diffused strictures.The duration of follow-up ranged from 3 to 17 months.One patient with bilateral COP was lost of follow-up.The clinical results included good in 33 glands,fair in 18 glands and poor in 11 glands,with a total effective rate of 82％ (51/62).Conclusions Endoscopic procedure is valuable for the diagnosis and treatment of COP.