CAJ | 학술논문

目的：探讨下颌下腺导管结石的治疗方法。方法：对38例下颌下腺导管结石病例经口底黏膜切口，导管切开取石，术后导管内留置人工导管10 d，随访术后腺体恢复和导管分泌情况。结果：38例患者均局麻下成功取石，术后导管内留置人工导管10 d。术后6 w～12 w没有再出现进食后下颌下区肿胀症状，下颌下腺质地逐渐变软，舌下肉阜处导管口有清亮液体分泌。结论：口内取石配合导管内留置人工导管有助于下颌下腺导管通畅，有利于取石后恢复和保存下颌下腺腺体功能。
목적：탐토하합하선도관결석적치료방법。방법：대38례하합하선도관결석병례경구저점막절구，도관절개취석，술후도관내류치인공도관10 d，수방술후선체회복화도관분비정황。결과：38례환자균국마하성공취석，술후도관내류치인공도관10 d。술후6 w～12 w몰유재출현진식후하합하구종창증상，하합하선질지축점변연，설하육부처도관구유청량액체분비。결론：구내취석배합도관내류치인공도관유조우하합하선도관통창，유리우취석후회복화보존하합하선선체공능。
Objective:To report our experience in the treatment of the calculi in submandibular gland duct. Method:38 patients with calculi in submandibular gland duct were included. Removal of the salivary calculi was conducted through oral approach.The tube was left for drainage in duct for 10 days.The situation of secretion and reduction of gland were evaluated postoperatively. Result:The calculi were removed successfully in the all patients.The patients were no longer suffering from submandibular swelling after meal during follow-up.Transparent liquid discharge from the orifice of sub-mandibular gland duct was observed in all the patients. Conclusion:Removal salivary calculis through oral approach aided by tube drainage is effective in the treatment of sialolithiasis of submandibular gland.