注射疗法治疗下唇黏液囊肿的体会

目的 了解高渗盐水注射疗法治疗下唇黏液囊肿的疗效。方法 临床随机选择下唇黏液囊肿58例，抽尽囊液后，向囊腔内注入30％氯化钠溶液0.2-0.5mL。注射1－2次囊肿消失，随诊观察1个月无复发者视为成功，否则视为失败。结果 成为47例（81．03％），失败11例（18．97％）。直径3－10mm囊肿因观察清楚，操作准确而易一次成功，位置表浅者更易。直径5－10mm囊肿的治疗效果最佳。囊肿过大或过小常需2次治疗。失败病例均经手术切除作病理切片诊断，结合临床最后诊断为：4例（6．90％）是原囊肿复发，7例（12．07％）是多发囊肿，属新囊肿再发，体积小（直径＜3mm)或伴炎症的囊肿，囊液不易抽尽，腺泡末受到完全破坏而易复发。多发囊肿常较小，因临床不易诊断而遗漏治疗，长大致复发。本组病例统计发现，多发囊肿至少占下唇黏液囊肿的12．07％。结论 对单发，位置表浅，直径3－10mm的下唇黏液囊肿，采用30％氯化钠溶液注射疗法会取得较好的疗效。

Experience of treatment in mucous cyst of lower lip

To investigate the function of saline whose consistency was 30% on mucous cysts of lower lipps. Fifty-eight cases were treated with 30% saline which was injected into the cavities of these cysts. Fourty-seven cases (81.03%) got the successful results. Eleven cases (18.9%) were failed. Conclusion] 30% saline can injure the epithelia of cysts so that it can cure the mucous cysts of lipps.