单纯型舌下腺囊肿改良袋形治疗的临床效果分析.docVIP

单纯型舌下腺囊肿改良袋形治疗的临床效果分析 　　【摘要】 目的：探讨改良袋形术治疗口内单纯型舌下腺囊肿的临床效果。方法：选取本院2012年 　　1月-2014年1月收治入院的口内单纯型舌下腺囊肿患者40例作为研究对象，所有患者均为首发病例，采用单纯型舌下腺囊肿改良袋形手术治疗，观察治疗效果、并发症发生率及复发情况。结果：改良袋形术治疗口内单纯型舌下腺囊肿患者40例，碘仿纱条去除后，囊壁上皮与周围正常口底黏膜基本愈合，随着时间的延长，愈合更牢固，正常口底黏膜取代了囊壁，颜色恢复正常。治愈34例（85.0%），好转5例（12.5%），治疗有效率为97.5%。经术后最长3年，最短半年随访，其中1例失访，随访后发现复发6例，复发率为15.0%，无其他术后并发症，口底黏膜颜色正常，舌活动自如，无异物感，可触及舌下腺，经检查舌下腺分泌功能正常，患者均比较满意。结论：改良袋形术是治疗单纯舌下腺囊肿有效的方法之一。复发率较传统的袋形术明显降低，针对特殊患者，值得推广。 　　【关键词】 单纯型舌下腺囊肿； 改良袋形术； 效果 　　【Abstract】 Objective：To investigate the clinical effect of improved marsupialization in the treatment of intraoral simplex sublingual gland cyst.Method：40 patients with intraoral simplex sublingual gland cyst admitted to our hospital from January 2012 to January 2014 were selected as the research objects，all patients were the first case，they were given simplex sublingual gland cyst improved marsupialization surgical treatment，the therapeutic effect，complication incidence rate and recurrence rate of the patients were observed.Result：40 patients intraoral simplex sublingual gland cyst were treated with improved marsupialization， after the removal of iodoform gauze，sac epithelium and around the bottom of the mouth of the normal mucosal were basically healed，with the extension of time，healing more firmly，normal floor of mouth mucosa replaced the cyst wall，color returned to normal.34 cases（85.0%） were cured，5 cases（12.5%） were improved，the effective rate was 97.5%.They were followed for 6 months to 3 years，one patient lost to follow-up，6 cases of recurrence were found after follow-up，the recurrence rate was 15.0%.No other postoperative complications，floor of mouth mucous membrane color normal，the tongue freely，no foreign body sensation，could touch the sublingual gland，after inspection，the sublingual gland secretion function was normal.All the patients were more satisfied.Conclusion：Improved marsupialization is one of the effective method of in the treatment of simplex sublingual gland cyst，the recurrence rate