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Sialographic, sialoendoscopic and irrigation fluid study in chronic obstructive parotitis
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF STOMATOLOGY
- Issue:
- 4
- DOI:
- 10.3760/j.issn:1002-0098.2005.04.004
- Key Word:
- 内窥镜检查;涎腺造影术;慢性阻塞性腮腺炎
Abstract： 目的研究慢性阻塞性腮腺炎(COP)涎腺内镜表现及其冲洗液病理学基础,且与腮腺造影对比分析.方法对27例腮腺反复肿胀的患者进行临床检查、X线平片、涎腺造影检查,涎腺内镜观察腮腺导管系统并行扩管冲洗治疗.离心冲洗液并对沉淀物行HE染色.光镜观察,并根据造影表现分类与内镜及冲洗液检查结果进行比较.结果 27例COP造影表现分类:Ⅰ型9例、Ⅱ型5 例、Ⅲ型9例、Ⅳ型 3例、正常1例.造影发现21例阻塞原因为导管狭窄.涎腺内镜发现所有病例的导管内皆可见纤维样物质,管壁上可见充血点.Ⅰ型和Ⅱ型腮腺导管内纤维样物质量少且细小;Ⅲ型和Ⅳ型腮腺导管内纤维样物质呈条索状或团块状.冲洗液沉淀后的纤维样物质为聚集成团状的大量脱落上皮细胞,其间可见中性粒细胞、淋巴细胞、嗜酸性粒细胞及少许红细胞.结论涎腺内镜下大量纤维样物质病理学基础是大量脱落上皮细胞.粘在管壁上的纤维样物质可能是引起腺体反复肿胀的局部原因之一.内镜下表现的严重程度与涎腺造影表现有一定的相关性.
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