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目的分析潜突型舌下腺囊肿的诊断和复发的主要原因以及治疗方法,总结特点,避免临床上误诊误治。方法对1998年1月—2008年8月经治疗的颌下区潜突型舌下腺囊肿75例进行总结分析,其中50例经口内进路手术摘除舌下腺,25例行穿刺抽出囊液并用硬化剂治疗,对两种治疗方法从术后疼痛、复发、局部肿胀等方面进行分析比较。结果 75例经局部检查、穿刺检查及淀粉酶检查,辅助B超检查作出颌下区潜突型舌下腺囊肿诊断,手术治疗患者与采用硬化剂治疗患者在术后疼痛分级上的差异有统计学意义(P<0.05),但在局部肿胀、复发率方面的差异无统计学意义。结论潜突型舌下腺囊肿易发生误诊,彩色超声检查、颌下区局部触及柔软囊性肿物、穿刺抽出蛋清样粘稠丝状液体及淀粉酶检查阴性,是颌下区舌下腺囊肿的诊断依据,手术彻底摘除舌下腺是治疗成功的关键。
Objective To analyze the main causes of diagnosis and recurrence of latent sublingual gland cyst, as well as the treatment methods and characteristics of the diagnosis, to avoid clinical misdiagnosis and mistreatment. Methods From January 1998 to August 2008, 75 cases of submandibular subglottic sublingual gland cysts underwent subtotal gastrectomy. Among them, 50 cases underwent sublingual gastrectomy for sublingual gland removal and 25 cases were punctured for cyst fluid extraction Sclerotherapy, the two treatment methods from the postoperative pain, recurrence, local swelling and other aspects were analyzed and compared. Results 75 cases of submandibular subglottic sublingual gland cyst diagnosed by local examination, puncture and amylase examination, assisted by B-ultrasound, surgical treatment of patients with sclerotherapy in patients with postoperative pain grade differences were statistically Significance (P <0.05), but there was no significant difference in local swelling and recurrence rate. Conclusions The sublingual gland cyst of subconjunctival type is prone to be misdiagnosed. Color sonography is performed. The submandibular area touches the soft cystic mass partially. The viscous filamentous liquid extracted from the egg white sample and the negative amylase are the sublingual gland cyst The diagnosis, the complete removal of sublingual gland surgery is the key to the success of treatment.