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目的对临床上常见的由慢性阻塞性腮腺炎和慢性复发性腮腺炎引起的腮腺肿大进行鉴别,以便采取正确的治疗方法。方法通过对慢性阻塞性腮腺炎和慢性复发性腮腺炎在病因,临床表现,腮腺造影的不同的比较,总结出相应的治疗方法。结果 39例患者,儿童16例中14例是慢复腮,随年龄增长逐渐减轻或好转,2例转化为成复腮,腮腺良性不可逆肥大。慢阻腮的11例中治愈9例,其余2例有明显好转。2例腮腺结核的患者随结核病情的治愈而好转。2例舍格伦综合征患者经对症治疗症状明显减轻。结论慢性复发性腮腺炎常有自愈性,随年龄增长逐渐缓解,以保守对症治疗为主。慢性阻塞性腮腺炎多是导管问题,常疏扩导管,甚至结扎导管,摘除腮腺。
Objective To identify the common parotid gland swelling caused by chronic obstructive parotitis and chronic recurrent parotitis in order to take proper treatment. Methods Based on the comparison of etiology, clinical manifestations and parotid glands between chronic parotitis and chronic parotitis, the corresponding treatment methods were summarized. Results Of the 39 patients, 14 of the 16 children were slow gills and gradually reduced or improved with age. Two of them were converted into complex gills and the parotid gland was irreversibly hypertrophic. Nine cases were cured in 11 cases of slow-acting gills and the other two cases were significantly improved. Two cases of parotid tuberculosis patients with tuberculosis treatment and improvement. 2 patients with Sjogren’s syndrome symptomatic treatment significantly reduced the symptoms. Conclusion The chronic recurrent parotitis often self-healing, with the gradual remission of aging, conservative treatment based. Chronic obstructive parotitis is more catheter problems, often dilatation of the catheter, and even ligation of the catheter, removal of the parotid gland.