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我科1983年4月14日收治1例国内外罕见的先天性颌下腺瘘。患者,男,26岁,本县棉船乡人,出生后发现右颌下缘有一瘘孔流水,二十多年来不断流无色的粘稠分泌物,常沾污衣领,进食时分泌物增多,吃香甜食时更甚。1976年曾在安徽省某医院手术治疗未愈。我科以先天性颌下腺瘘收治。患者发育良好,体检正常(从略)。右下颌缘下1.5cm处有一瘘孔直径约0.3cm,压之有稀薄粘稠无色透明分泌物溢出,可扪及瘘管周围深处有一呈条索状硬结,瘘口下0.5cm处有1cm长横形的瘢痕,左侧颌下腺区正常,经碘化油颌下腺造影摄片确诊为先天性颌下腺瘘。在局麻下行颌下腺瘘道封闭术。常规消毒后,在瘘管口周作梭形切口,将瘘管口周的皮肤、瘢痕及一段瘘道切除,作荷包缝合结扎瘘管末端,潜行分离后缝合组织及皮肤。术后伤口愈合。1年后追踪创口情况良好。
Our department April 14, 1983 admitted to a rare case of submandibular gland fistula at home and abroad. Patients, male, 26 years old, the county cotton boat people, was found after birth a fistula hole in the lower edge of the right mandible, more than twenty years continuous flow of colorless viscous secretions, often contaminated collar, secretion when eating Things increase, even more sweet food. In 1976 he was cured in a hospital in Anhui Province. My department to congenital submandibular fistula admitted. Patients developed well, physical examination was normal (omitted). 1.5cm at the right mandibular margin at a fistula hole diameter of about 0.3cm, the pressure of a thin viscous colorless and transparent discharge overflow palpable fistula with a cord-like sclerosis around the depth of 0.5cm at the fistula 1cm Long transverse scar, left submandibular gland area normal, the iodized oil submandibular gland angiography confirmed congenital submandibular gland fistula. Under local anesthesia submandibular gland fistula closure. After routine disinfection, make a fusiform incision in the fistula periorbital fistula, the fistula perioral skin, scar and a fistula resection for purse suture ligation fistula end of suture separation and suture tissue and skin. Postoperative wound healing. Tracking wounds after 1 year in good condition.