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題 名 | 涎石症及其結石之X光折射分析=Sialolithiasis and X-ray Diffractometric Analysis of Sialoliths |
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作 者 | 方敦煌; 陳志誠; 沈福全; 謝地; | 書刊名 | 中華民國耳鼻喉科醫學雜誌 |
卷 期 | 35:1 民89.01-02 |
頁 次 | 頁34-39 |
分類號 | 416.8 |
關鍵詞 | 涎石症; X光折射分析; Sialolithiasis; X-ray diffraction; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:涎石症(sialolithiasis)雖是常見之唾液腺疾病,但卻帶給患者莫大之不適,造成患部疼痛、反覆腫脹及腺體發炎等症狀。本研究針對涎石症分析其成分是其治療方法。方法:收集自1979年12月至1998年5月間,涎石症共49例,採回溯性統計法,依其年齡、性別、臨床症狀及X光折射、治療方法及結果,加以分析討論。結果:男性病患33例,女性16例,比例約為2:1,其中下?下腺涎石46例,包括1例兩側同時發生;3例為腮腺涎石,其中1例為異物引起。平均年齡38歲,治療上採取單純之涎石切開術(sialolithotomy)或唾液腺體切除術為主。晶體成分經X光折射分析,其中有3例下?下腺涎石因涎石重量太小無法分析,結果顯示:下?下腺涎石23例為hydroxyapatite,18例為hydroxyapatite + whitlockite,2例為hydroxyapatite + whitlockite+brushite;腮腺涎石3例皆為hydroxyapatite。結論:唾液腺涎石發生率以下?下腺為主,並以中年男性佔大多數,成分以hydroxyapatite及whit-lockite兩種無機鹽類為主,臺灣地區的發生率及涎石成分與國外報告類似。 |
英文摘要 | BACKGROUND: Sialolithiasis is a common salivary gland disease and causes a lot of pain. The major manifestations of sialolithiasis included recurrent swelling, painful sialadenitis and suppurative sialadenitis. We analyzed the composition of sialoliths and discussed the etiology and therapy. MATERIALS AND METHODS: From December 1979 to May 1998, 49 patients diag-nosed with sialolithiasis were enrolled in this study. Retrospective study examined their ages, sex, clinical symptoms, X-ray diffraction and therapy. RESULTS: Among the patients, 33 patients were men and 16 were women in a ratio of 2:1(the mean age was 38 years old). Forty-six cases of sialolithiasis occurred in the submandibular gland and 3 in the parotid gland and they were cured by sialolithotomy or sialoadenectomy. X-ray diffraction revealed that the major components of the sialoliths were hydroxyapatite, whitlockite and brushite. CONCLUSIONS: Sialolithiasis occurred most often in the submandibular gland and most patients were middle-aged males. Hydroxyapatite and whitlockite were the major compo-nents of the sialoliths. |
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