慢性阻塞性腮腺炎导管内镜探查与扩张灌注治疗

目的探讨内镜下慢性阻塞性腮腺炎的表现和导管扩张、药物灌注治疗疗效. 方法应用乳管镜对12例慢性阻塞性腮腺炎患者的导管进行观察,1周后做导管扩张及用庆大霉素灌注.结果导管炎11例[其中伴狭窄7例(狭窄伴炎性增生4例、狭窄伴粘液栓2例),单纯导管炎4例],单纯导管狭窄1例.术后4周随访,优4例,良7例,差1例.结论内镜检查结合扩张和灌注治疗对慢性阻塞性腮腺炎有一定近期疗效.

Sialoendoscopic exploration and drug perfusion in the treatment of chronic obstructive parotitis

Objective To investigate manifestations of chronic obstructive parotitis (COP) under sialoendoscope and to evaluate curative effects of duct dilatation and drug perfusion for COP. Methods Twelve patients with COP were examined by sialoendoscopy. Treatment was performed by duct dilatation and gentamycin perfusion one week later. Results There were 11 cases of sialodochitis (complicated by sialostenosis in 7 cases, including 4 cases of polyps and 2 cases of mucus embolism, and simple sialodochitis in 4 cases) and 1 case of simple sialostenosis. Follow-up for 4 weeks showed that results were excellent in 4 cases, good in 7 cases, and poor in 1 case. Conclusions Sialoendoscopic exploration with dilatation procedure and drug perfusion offers certain short-term curative effects in the management of COP.