Treatment outcomes of sialendoscopy for submandibular gland sialolithiasis: The minor axis of the sialolith is a regulative factor for the removal of sialoliths in the hilum of the submandibular gland using sialendoscopy alone
Treatment outcomes of sialendoscopy for submandibular gland sialolithiasis: The minor axis of the sialolith is a regulative factor for the removal of sialoliths in the hilum of the submandibular gland using sialendoscopy alone
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DOI：
10.1016/j.anl.2017.09.003
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发表时间：
2018-08-01
影响因子：
1.7
通讯作者：
Nonaka, Manabu
中科院分区：
文献类型：
--
作者：
Kondo, Norio;Yoshihara, Toshio;Nonaka, Manabu
目的：为了评估使用sialendoscopy.Methods去除颌下腺涎石的一般准则：我们分析了42例颌下腺涎石患者61个涎石使用sialendoscopy.Methods。我们评估了下颌下腺涎石，并根据位置将每个病例分为：沃顿管或门。我们测量了使用软组织计算机断层扫描（CT）扫描和评估的sialoliths使用sialendoscopics.Results的去除率的sialoliths的长轴和短轴：在沃顿氏管（52.6%）的sialoliths的去除率（26.1%）显著高于在门的颌下腺（P = 0.042）。所有病例的短轴与单纯涎腺内窥镜治疗结果显著相关（P = 0.030）。在涉及下颌下腺门的病例中，观察到与单独唾液腺内窥镜治疗结果相关的唾液腺石短轴测量值具有显著相关性（P = 0.009）。长轴与sialendoscopy.Conclusion的治疗结果无相关性：测量的sialoliths的短轴与软组织CT扫描与sialendoscopy.Conclusion的治疗结果与sialoliths单独为所有的情况下，特别是sialoliths在门。长轴的测量结果显示与单纯涎腺内窥镜检查的结果无关。(C)2017 Elsevier B.V.版权所有。
Objective: To assess the general guidelines for the removal of sialoliths for submandibular gland sialolithiasis using sialendoscopy alone.Methods: We analyzed 61 sialoliths treated using sialendoscopy in 42 patients with submandibular gland sialolithiasis. We evaluated the submandibular gland sialoliths and divided each case based upon the location: the Wharton's duct or the hilum. We measured the major and minor axes of the sialoliths using a soft tissue computed-tomography (CT) scan and evaluated the removal rate of the sialoliths using sialendoscopy alone.Results: The removal rate of the sialoliths in the Wharton's duct (52.6%) was significantly higher than that in the hilum of the submandibular gland (26.1%) (P = 0.042). The minor axis was significantly correlated to the treatment outcome of sialendoscopy alone for all cases (P = 0.030). A significant correlation was observed for cases involving the hilum of the submandibular gland and the measurement of the minor axes of the sialoliths for the treatment outcome of sialendoscopy alone (P = 0.009). The major axis showed no correlation with the treatment outcomes of sialendoscopy alone.Conclusion: The measurement of the minor axes of the sialoliths with a soft tissue CT scan was correlated with treatment outcome of sialendoscopy alone for all cases, particularly sialoliths in the hilum. The easurement of the major axis showed no correlation with outcomes of sialendoscopy alone. (C) 2017 Elsevier B.V. All rights reserved.