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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Outcome of minimally invasive management of salivary calculi in 4,691 patients.
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Outcome of minimally invasive management of salivary calculi in 4,691 patients.

机译：4 691例患者唾液结石的微创治疗结果。

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摘要

OBJECTIVE: To evaluate the application of minimally invasive techniques in the management of salivary stones. BACKGROUND: The incidence of salivary calculi is 60 cases/million/year, with most stones situated in the mid or proximal duct. The current treatment of these stones is adenectomy. This paper reports the results of minimally invasive methods of stone removal that avoid gland excision. METHODS: Observational study of 5,528 consecutive patients treated by lithotripsy, endoscopy, basket retrieval, and /or surgery in five centers from 1990 to 2004 inclusive. A total of 567 cases were excluded, leaving 4,691 patients (parotid n = 1,165, submandibular n = 3,526) for analysis. RESULTS: Salivary calculi were eliminated in 3,775/4,691 (80.5%) of cases and partly cleared in 782/4,691 (16.7%). Salivary glands were removed in 134/4,691 (2.9%) of patients with symptoms in whom treatment failed. CONCLUSIONS: Minimally invasive techniques move treatment of salivary calculi to an outpatient or a day case setting. They are reliable ways of both retrieving stones and eliminating symptoms, and mean that the gland rarely has to be removed.
机译：目的：评估微创技术在唾液结石管理中的应用。背景：唾液结石的发生率为60例/百万/年，大多数结石位于导管的中部或近端。这些结石的当前治疗方法是腺切除术。本文报道了避免腺体切除的微创除石方法的结果。方法：从1990年至2004年，在五个中心对5528例接受碎石术，内窥镜检查，提篮取回和/或手术治疗的连续患者进行了观察性研究。总计567例患者被排除在外，剩下4,691例患者（腮腺n = 1,165，下颌下n = 3,526）进行分析。结果：3,775 / 4,691（80.5％）病例的唾液结石被消除，而782 / 4,691（16.7％）的病例被部分清除。在治疗失败的症状患者中，有134 / 4,691（2.9％）位患者的唾液腺被去除。结论：微创技术将唾液结石的治疗转移至门诊或日间病例。它们是修复结石和消除症状的可靠方法，并且意味着腺体很少需要去除。

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