舌前腺囊肿74例改良手术疗效分析

目的 总结舌前腺囊肿改良手术方法的临床疗效。方法 采用改良手术即在常规手术方法基础上加以切除舌前腺治疗舌前腺囊肿,观察随访3年复发率并与常规术式疗效相比,结果经统计学处理。结果 74例患者经改良术式治疗3年复发率1.35％,常规术式治疗复发率47.73％,差异有统计学意义。结论 舌前腺囊肿改良手术方法简单、疗效确切。     

舌前腺囊肿的治疗总结

目的：比较2种手术方法治疗舌前腺囊肿的临床效果，为舌前腺囊肿选择合理的手术方法提供依据。方法：41例舌前腺囊肿患者，均采用手术治疗，随机为两分组，A组19例采用常规小黏液腺囊肿摘除术，B组22例采用患侧舌前腺及囊肿一并摘除的术式。术后随访6个月。结果：A组7例复发，B组1例复发。结论：对于治疗舌前腺囊肿，采用舌前腺及囊肿一并摘除的术式效果确切。     

舌腹正中切口行舌前腺摘除术

目的探讨一种改良的舌前腺摘除术式。方法选择5年来有完整随访记录的舌前腺囊肿患者43例,其中应用常规舌前腺表面切口摘除舌前腺23例,应用舌腹正中切口摘除舌前腺20例。两组病例进行对比分析。结果经统计分析,应用舌腹正中切口较舌前腺表面切口摘除舌前腺,在手术时间、术中出血、术后局部反应诸方面有明显优势。结论舌腹正中切口可作为舌前腺摘除术常规切口设计,在临床推广应用。     

舌前腺囊肿手术治疗98例报告

舌前腺位于舌腹前部舌系带两侧，表面有薄层黏膜覆盖，是粘液腺囊肿的好发区域。传统手术只摘除囊肿，对舌前腺未予处理，故术后复发率较高。近年来，我科共收治了98例舌前腺囊肿患者，分别采用单纯囊肿摘除术和舌前腺及囊肿摘除术术式，进行临床疗效对比研究，报道如下：     

舌前腺囊肿治疗后复发因素分析

舌前腺是一对位于舌尖腹侧中线两侧的腺体,以粘液性腺泡为主,呈纺棰形,无包膜,两侧腺体间仅相隔一层菲薄的结缔组织。对舌前腺囊肿的治疗方法众多,大致可分为保守治疗组,包括药物腐蚀（2％～3％碘酊,三氯醋酸,碘酚等）,冷冻治疗,微波治疗等;手术治疗包括囊肿梭形切除术、囊肿及同侧舌前腺一并切除术、囊肿及双侧舌前腺一并切除术等术式。基于舌前腺属于小粘液腺的一贯认识,对其治疗一直按小粘液腺囊肿治疗方法进行,临床疗效不理想,治疗后复发率甚高。现将本研究治疗舌前腺囊肿后出现复发的临床资料进行总结分析。     

复发舌前腺囊肿的手术治疗

目的探讨复发舌前腺囊肿的病因和临床治疗方法。方法对20例复发舌前腺囊肿采取囊肿及同侧或双侧舌前腺完整摘除的手术方式进行治疗。结果 20例患者术后均I期愈合出院,术后随访6个月无复发。结论舌前腺有其自身的解剖生理特点,舌前腺囊肿不宜按一般黏液囊肿治疗原则进行,舌前腺囊肿及同侧或双侧舌前腺完整摘除是治疗舌前腺囊肿的可靠手段。     

103例舌前腺囊肿临床治疗的体会

<正>舌前腺囊肿为口腔粘液腺囊肿,是口腔粘液腺管阻塞而致粘液潴留于腺泡内而形成的囊肿[1]。舌前腺囊肿治疗方法有手术治疗和非手术治疗两种。手术方法有囊肿摘除、囊肿+舌前腺摘除及激光治疗;非手术方法主要为囊腔内注射硬化剂,使用药物有5％鱼肝油酸钠、4％碘酊+2％利多卡因混合液     

微波热凝治疗舌前腺粘液囊肿的疗效观察

舌前腺位于舌尖腹面粘膜下层，为粘液腺，发生于小唾液腺的粘液囊肿目前主要采用手术将囊肿彻底切除后严密缝合手术切口的传统术式治疗。但舌前腺粘液囊肿的术后复发率较高，笔者采用微波热凝法治疗舌前腺粘液囊肿61例取得了较好的疗效，术后6个月随访无复发病例。     

舌前腺囊肿手术治疗体会

舌的小涎腺有三组，舌后腺位于舌根部粘膜下，舌中腺接近轮廓乳头，舌前腺位于舌尖腹面舌系带两侧粘膜下肌层内，左右成对，导管开口于舌系带两俩，又称Nnhn氏腺，为粘液腺。由于舌前腺腺体或导管的炎症、损伤等原因导致导管的狭窄或阻塞，造成分泌物不能流入口腔，而发生潴留，形成舌前腺囊肿。以往由于对其局部解剖和该囊肿的认识不足，造成手术后复发率较高。本文报道26例舌前腺囊肿患者采用不同手术方法的治疗经验，旨在寻求更加合理的治疗方法。     

舌前腺囊肿治疗后复发34例临床分析

目的:探讨舌前腺囊肿复发的相关因素和临床治疗方法。方法:对34例舌前腺囊肿治疗后复发的病例进行回顾性分析。结果:34例复发病例中,非手术治疗后复发10例,手术治疗后复发24例。再次手术行囊肿及舌前腺一并摘除术,术后随访0.5～1年,2例复发,其余病例均未见复发。结论:治疗方法选择不当和不规范的手术方法是导致舌前腺囊肿复发的直接原因,采用舌前腺及囊肿一并摘除的术式效果确切。     

Anterior mandibular lingual salivary gland defect: a report of a case diagnosed with cone-beam computed tomography and magnetic resonance imaging

Anterior mandibular lingual salivary gland defects are rare. They may be evident on routine radiographic exam. Because the differential diagnosis can be exhaustive, differential interpretation and diagnosis are crucial. A case of large bilateral radiolucent lesions of the anterior mandible that was an anterior mandibular salivary gland defect is reported in a young female. This lesion was initially visualized on a panoramic radiograph. Further evaluation was undertaken with dental cone-beam computed tomography. Confirmation of bilateral anterior mandibular lingual salivary gland defects was made using magnetic resonance imaging, negating the need for surgical biopsy.     

Case report: anterior lingual mandibular cortical bone concavity

This paper presents a case of an anterior mandibular bone defect (synonym: Stafne's bone cavity, static bone cyst, lingual mandibular salivary gland depression) mistaken for periapical pathology and referred for treatment.     

95%无水乙醇联合地塞米松治疗舌前腺囊肿49例

目的:观察95%无水乙醇联合地塞米松局部注射治疗舌前腺囊肿的临床疗效。方法:以95%无水乙醇0.5 m L,混合地塞米松注射液2 mg患部注射(49例),并与传统硬化剂注射(48例)对照研究。每周注射1次,连续注射4周。定期观察回访6月。结果:95%无水乙醇联合地塞米松局部注射法治疗舌前腺囊肿,治愈率、有效率明显优于传统硬化剂注射(P<0.05)。结论:95%乙醇和地塞米松两者结合注射治疗舌前腺囊肿的优点突出,值得临床推广。     

Anterior lingual mandibular salivary gland defect (Stafne defect) presenting as a residual cyst

Lingual mandibular salivary gland inclusion (Stafne defect) is a developmental anomaly represented by a bone concavity usually containing submandibular gland tissue. The posterior mandible region, particularly at the angle and below the mandibular canal, is the common location, and the anterior mandibular variants occur rather seldom. The latter is usually observed in the premolar and cuspid region, or more rarely in the symphysis, as a round or ovoid radiolucency sometimes appearing superimposed over the teeth's apices, resembling a true cystic lesion or an odontogenic tumor. We report an additional case of anterior lingual mandibular salivary gland defect occurring in a 42-year-old white man. It presented as an asymptomatic radiolucency located on the left side of the mandible, in the region of an absent second premolar and first molar, above the alveolar canal, mimicking a residual cyst. Histopathologic examination of the "cyst" content revealed the absence of a cyst lining and the presence of normal sublingual gland tissue.     

低温等离子消融技术治疗舌前腺囊肿的临床体会

目的:探讨低温等离子消融技术治疗舌前腺囊肿的临床效果。方法:收治舌前腺囊肿患者20例,沿囊肿表面行梭形切口,显露囊肿及舌前腺后,采用低温等离子系统精确消融病变组织。结果:术后创口均愈合良好,创面无红肿、出血,舌体活动自如,随访6～12个月,无1例复发,有效率100%。结论:低温等离子消融技术治疗舌前腺囊肿为一种安全有效的治疗方法。     

Bilateral anterior Stafne bone defect mimicking radicular cyst: report of a rare case with a review of the literature

Stafne bone defects (SBDs) are asymptomatic radiolucent lingual/buccal bone lesions of the lower jaw that are frequently caused by soft tissue inclusion. SBDs located on the lingual anterior mandibular body (ASBDs) are rare variants. Sublingual salivary glands are thought to be responsible for ASBDs. However, other structures, such as lymphoid or vascular tissues, might be associated with ASBDs. ASBDs may be confused with other odontogenic or non-odontogenic pathologies because of their location and lower occurrence rate. To date, only one case involving the bilateral anterior mandibular area has been reported in the literature, including both the clinical case and archaeological specimens. The primary aim of our study was to describe a new case of bilateral ASBD in the anterior mandible that was mimicking a radicular cyst. The bilateral ASBD was diagnosed with the help of a three-dimensional cone-beam computed tomography scan, and it presented radiographically as a periapical pathologic defect. An additional aim was to review previously reported cases related to ASBDs.     

改良舌簧和邻间钩活动矫治器

目的：应用改良的便利型舌簧和邻间钩活动矫治器取代目前临床常用的双曲舌簧和邻间钩活动矫治器，并与常用的双曲舌簧在弯制、临床应用、外观等方面进行了比较分析．方法：使用常用不锈钢丝弯制改良便利型舌簧和邻间钩，制作活动矫治器治疗牙性前牙反、内倾型深覆、前牙扭转及轻度拥挤．结果：改良舌簧和邻间钩活动矫治器制作简单，加力方便，临床效果良好．结论：改良便利型舌簧，具有夹板样作用，可同时作用于多个前牙，产生按牙弓弧形均匀扩弓的效果，使舌簧的使用范围扩展．如附以导杆或平导可使作用力方向更易控制．改良便利型舌簧和邻间钩没有游离的末端配合应用使整个矫治器固位好，戴用舒适