国际口腔医学杂志 ›› 2023, Vol. 50 ›› Issue (6): 704-710.doi: 10.7518/gjkq.2023108

• 综述 • 上一篇    下一篇

内镜下激光碎石术治疗唾液腺结石病的研究进展

杨静(),柳登高()   

  1. 北京大学口腔医学院·口腔医院医学影像科 国家口腔医学中心 国家口腔疾病临床医学研究中心口腔生物材料和数字诊疗装备国家工程研究中心 口腔数字医学北京市重点实验室国家卫生健康委员会口腔医学计算机应用工程技术研究中心 国家药品监督管理局口腔材料重点实验室北京 100081
  • 收稿日期:2023-02-12 修回日期:2023-07-09 出版日期:2023-11-01 发布日期:2023-10-24
  • 通讯作者: 柳登高
  • 作者简介:杨静,学士,Email:1710303116@pku.edu.cn

Research progress on endoscopy-assisted laser lithotripsy in the treatment of sialolithiasis

Yang Jing(),Liu Denggao.()   

  1. Dept. of Oral and Maxillofacial Radiology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry, National Health Committee & National Medical Products Administration Key Laboratory for Dental Materials, Beijing 100081, China
  • Received:2023-02-12 Revised:2023-07-09 Online:2023-11-01 Published:2023-10-24
  • Contact: Denggao. Liu

摘要:

唾液腺结石病是一种常见的唾液腺疾病,临床特点是唾液排出障碍,常继发感染,严重影响患者的生活质量。唾液腺结石形成的确切病因目前尚不清楚,一般认为与异物、炎症等局部因素有关,也可能与某些全身系统性因素有关。唾液腺结石病的传统治疗方法为保守治疗和手术治疗。随着唾液腺内镜的应用和相关外科技术的进展,出现了多种微创和保留腺体的治疗方法,其中包括内镜下激光碎石术。本文拟对唾液腺结石病的病因及内镜下激光碎石术治疗唾液腺结石病的研究进展予以综述。

关键词: 唾液腺结石病, 病因, 激光, 碎石术

Abstract:

Sialolithiasis is a common salivary gland disease. It is characterized by saliva excretion disorder, which is often accompanied with secondary infection. It seriously affects the quality of a patient’s life. The exact etiology of salivary stones is not completely clear. It is generally believed to be related to local factors, including foreign bodies and inflammation, and certain systemic factors. Conventional management of sialolithiasis consists of non-invasive conservative ma-nagement and surgical treatment. With the application of sialendoscopy and the development of relevant surgical techniques, various minimally invasive gland-preserving treatments have emerged, including endoscopy-assisted laser lithotripsy. This manuscript aimed to review the etiologic factors in sialolithiasis and the research progress on endoscopy-assisted laser lithotripsy in the treatment of sialolithiasis.

Key words: sialolithiasis, etiology, laser, lithotripsy

中图分类号: 

  • R 781.7+5
1 Capaccio P, Torretta S, Ottavian F, et al. Modern management of obstructive salivary diseases[J]. Acta Otorhinolaryngol Ital, 2007, 27(4): 161-172.
2 张震康, 俞光岩. 口腔颌面外科学[M]. 2版. 北京: 北京大学医学出版社, 2013: 307-308.
Zhang ZK, Yu GY. Oral and maxillofacial surgery[M]. 2nd ed. Beijing: Peking University Medical Press, 2013: 307-308.
3 Witt RL, Iro H, Koch M, et al. Minimally invasive options for salivary calculi[J]. Laryngoscope, 2012, 122(6): 1306-1311.
4 Zheng LY, Kim E, Yu CQ, et al. A retrospective case series illustrating a possible association between a widened hilum and sialolith formation in the submandibular gland[J]. J Craniomaxillofac Surg, 2013, 41(7): 648-651.
5 Kraaij S, Karagozoglu KH, Forouzanfar T, et al. Sa-livary stones: symptoms, aetiology, biochemical composition and treatment[J]. Br Dent J, 2014, 217(11): E23.
6 Perez-Tanoira R, Aarnisalo A, Haapaniemi A, et al. Bacterial biofilm in salivary stones[J]. Eur Arch Otorhinolaryngol, 2019, 276(6): 1815-1822.
7 Su YX, Zhang K, Ke ZF, et al. Increased calcium and decreased magnesium and citrate concentrations of submandibular/sublingual saliva in sialolithiasis[J]. Arch Oral Biol, 2010, 55(1): 15-20.
8 Demirhan H, Yıldız M, Çelebi ÖÖ, et al. The role of fetuin-A and electrolytes in the etiology of sialoli-thiasis[J]. Otolaryngol Head Neck Surg, 2017, 156(5): 840-843.
9 Marchal F, Kurt AM, Dulguerov P, et al. Retrograde theory in sialolithiasis formation[J]. Arch Otolaryngol Head Neck Surg, 2001, 127(1): 66-68.
10 Hung SH, Huang HM, Lee HC, et al. A population-based study on the association between chronic pe-riodontitis and sialolithiasis[J]. Laryngoscope, 2016, 126(4): 847-850.
11 Teymoortash A, Wollstein AC, Lippert BM, et al. Bacteria and pathogenesis of human salivary calculus[J]. Acta Otolaryngol, 2002, 122(2): 210-214.
12 Fusconi M, Petrozza V, Schippa S, et al. Bacterial biofilm in salivary gland stones: cause or consequence[J]. Otolaryngol Head Neck Surg, 2016, 154(3): 449-453.
13 De Grandi R, Capaccio P, Bidossi A, et al. Salivary calculi microbiota: new insights into microbial networks and pathogens reservoir[J]. Microbes Infect, 2019, 21(2): 109-112.
14 Kao WK, Chole RA, Ogden MA. Evidence of a microbial etiology for sialoliths[J]. Laryngoscope, 2020, 130(1): 69-74.
15 Iwai T, Sugiyama S, Hayashi Y, et al. Sialendosco-pic removal of fish bone-induced sialoliths in the duct of the submandibular gland[J]. Auris Nasus Larynx, 2018, 45(2): 343-345.
16 Xie LS, Zheng LY, Yu CQ, et al. Foreign body induced sialolithiasis treated by sialoendoscopic intervention[J]. J Craniofac Surg, 2014, 25(4): 1372-1375.
17 Hung SH, Lin HC, Su CH, et al. Association of sia-lolithiasis with cholelithiasis: a population-based study[J]. Head Neck, 2016, 38(4): 560-563.
18 Wu CC, Hung SH, Lin HC, et al. Sialolithiasis is associated with nephrolithiasis: a case-control study[J]. Acta Otolaryngol, 2016, 136(5): 497-500.
19 Kim SY, Kim HJ, Lim H, et al. Association between cholelithiasis and sialolithiasis: two longitudinal follow-up studies[J]. Medicine, 2019, 98(25): e16153.
20 Huoh KC, Eisele DW. Etiologic factors in sialoli-thiasis[J]. Otolaryngol Head Neck Surg, 2011, 145(6): 935-939.
21 Hung SH, Xirasagar S, Cheng YF, et al. A case-control study of the association between sialolithiasis and osteoporosis[J]. Clin Otolaryngol, 2019, 44(3): 343-348.
22 Jin YJ, Han YE, Choi HG. The association between sialolithiasis and smoking, alcohol drinking and obesity in Korea: a nested case-control study[J]. BMC Public Health, 2020, 20(1): 516.
23 Schrøder S, Homøe P, Wagner N, et al. Does drin-king water influence hospital-admitted sialolithiasis on an epidemiological level in Denmark[J]. BMJ Open, 2015, 5(4): e007385.
24 Sherman JA, McGurk M. Lack of correlation between water hardness and salivary calculi in England[J]. Br J Oral Maxillofac Surg, 2000, 38(1): 50-53.
25 Ye X, Zhang YQ, Xie XY, et al. Transoral and transcutaneous approach for removal of parotid gland calculi: a 10-year endoscopic experience[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2017, 124(2): 121-127.
26 Koch M, Hung SH, Su CH, et al. Intraductal lithotripsy in sialolithiasis with two different Ho: YAG lasers: presetting parameters, effectiveness, success rates[J]. Eur Rev Med Pharmacol Sci, 2019, 23(13): 5548-5557.
27 Chiesa-Estomba CM, Saga-Gutierrez C, Calvo-Henriquez C, et al. Laser-assisted lithotripsy with sialendoscopy: systematic review of YO-IFOS head and neck study group[J]. Ear Nose Throat J, 2021, 100(): 42S-50S.
28 Jadu FM, Jan AM. A meta-analysis of the efficacy and safety of managing parotid and submandibular sialoliths using sialendoscopy assisted surgery[J]. Saudi Med J, 2014, 35(10): 1188-1194.
29 Fabie JE, Kompelli AR, Naylor TM, et al. Gland-preserving surgery for salivary stones and the utility of sialendoscopes[J]. Head Neck, 2019, 41(5): 1320-1327.
30 Nahlieli O, Nakar LH, Nazarian Y, et al. Sialoendoscopy: a new approach to salivary gland obstructive pathology[J]. J Am Dent Assoc, 2006, 137(10): 1394-1400.
31 Nahlieli O. Complications of sialendoscopy: perso-nal experience, literature analysis, and suggestions[J]. J Oral Maxillofac Surg, 2015, 73(1): 75-80.
32 Zenk J, Koch M, Klintworth N, et al. Sialendoscopy in the diagnosis and treatment of sialolithiasis: a study on more than 1 000 patients[J]. Otolaryngol Head Neck Surg, 2012, 147(5): 858-863.
33 Fried NM, Irby PB. Advances in laser technology and fibre-optic delivery systems in lithotripsy[J]. Nat Rev Urol, 2018, 15(9): 563-573.
34 Pierre S, Preminger GM. Holmium laser for stone management[J]. World J Urol, 2007, 25(3): 235-239.
35 Aldoukhi AH, Black KM, Ghani KR. Emerging laser techniques for the management of stones[J]. Urol Clin North Am, 2019, 46(2): 193-205.
36 Seitz C, Tanovic E, Kikic Z, et al. Impact of stone size, location, composition, impaction, and hydronephrosis on the efficacy of holmium: YAG-laser ureterolithotripsy[J]. Eur Urol, 2007, 52(6): 1751-1757.
37 Kronenberg P, Somani B. Advances in lasers for the treatment of stones-a systematic review[J]. Curr Urol Rep, 2018, 19(6): 45.
38 Kronenberg P, Traxer O. Update on lasers in urology 2014: current assessment on Holmium: Yttrium-aluminum-garnet (Ho: YAG) laser lithotripter settings and laser fibers[J]. World J Urol, 2015, 33(4): 463-469.
39 Gundlach P, Scherer H, Hopf J, et al. Endoscopic-controlled laser lithotripsy of salivary calculi. In vitro studies and initial clinical use[J]. HNO, 1990, 38(7): 247-250.
40 Capaccio P, Torretta S, Pignataro L, et al. Salivary lithotripsy in the era of sialendoscopy[J]. Acta Otorhinolaryngol Ital, 2017, 37(2): 113-121.
41 Koch M, Schapher M, Mantsopoulos K, et al. Intraductal lithotripsy in sialolithiasis using the calculase ⅢTM Ho: YAG laser: first experiences[J]. Lasers Surg Med, 2021, 53(4): 488-498.
42 Ozdemir S. Outcomes of pneumatic lithotripsy versus holmium laser-assisted lithotripsy with sialendoscopy in management of submandibular sialoli-thiasis[J]. J Craniofac Surg, 2020, 31(7): 1974-1977.
43 Koch M, Schapher M, Mantsopoulos K, et al. Intraductal pneumatic lithotripsy after extended transoral duct surgery in submandibular sialolithiasis[J]. Otolaryngol Head Neck Surg, 2019, 160(1): 63-69.
[1] 孙旭,邓振南,文才,赵颖. Er: YAG激光照射种植体表面微形貌变化的扫描电子显微镜观察[J]. 国际口腔医学杂志, 2023, 50(6): 669-673.
[2] 赵雅丽,王植,高阳,辛鹏飞,张宽收,刘青梅. 磷酸钛氧钾激光在牙齿漂白治疗中的研究进展[J]. 国际口腔医学杂志, 2023, 50(2): 195-202.
[3] 曾杨林,谭学莲,宋东哲,黄定明. 牙根内吸收临床诊治方法的研究进展[J]. 国际口腔医学杂志, 2022, 49(5): 561-568.
[4] 查蕴宸,张佳佳,孔卫东. 原发性牙齿萌出障碍病因的研究进展[J]. 国际口腔医学杂志, 2022, 49(4): 386-391.
[5] 郭子源,常笑,韩开放,张锡忠. 低能量激光促进正畸牙移动有效性研究的系统评价与Meta分析[J]. 国际口腔医学杂志, 2022, 49(2): 163-172.
[6] 章善,沈树平,张舫,杨卫东. Er: YAG激光光子激活光声流技术对根管壁牙本质失水状况及牙根抗压强度的影响[J]. 国际口腔医学杂志, 2022, 49(1): 55-59.
[7] 何蓉,刘学军,周宇琨. 光子引导的光声流效应在根管荡洗中应用的系统评价[J]. 国际口腔医学杂志, 2021, 48(6): 644-655.
[8] 董栩,徐欣. 牙隐裂临床研究进展[J]. 国际口腔医学杂志, 2021, 48(6): 668-674.
[9] 王悦,文冰,邓梦婷,李建平. 低能量激光治疗对种植体周围组织愈合的研究进展[J]. 国际口腔医学杂志, 2021, 48(6): 725-730.
[10] 刘敏,张宽收,刘青梅. 激光蚀刻牙体组织在直接粘接技术中的研究进展[J]. 国际口腔医学杂志, 2021, 48(3): 292-296.
[11] 赵梦珺,李杨,吴家媛. 乳牙牙髓切断术在乳牙深龋治疗中的应用[J]. 国际口腔医学杂志, 2021, 48(1): 102-109.
[12] 陶慧骞,但红霞. 口腔黏膜瘙痒症的病因与治疗[J]. 国际口腔医学杂志, 2021, 48(1): 119-124.
[13] 赵文俊,郝晓琪,王凯利,刘媛媛,唐蓓,任家银,郑广宁. 对吻磨牙的研究进展[J]. 国际口腔医学杂志, 2021, 48(1): 96-101.
[14] 张敏,万浩元. 种植体周围炎药物治疗与激光治疗的研究进展[J]. 国际口腔医学杂志, 2020, 47(4): 463-470.
[15] 吴勇志,尧可,陈思宇,黄能文,王了. 多生牙及其诊断治疗[J]. 国际口腔医学杂志, 2020, 47(3): 311-317.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 张京剧. 青年期至中年期颅面复合体变化的头影测量研究[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 刘玲. 镍铬合金中铍对可铸造性和陶瓷金属结合力的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 王昆润. 在种植体上制作固定义齿以后下颌骨密度的动态变化[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 王昆润. 修补颌骨缺损的新型生物学相容材料[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 陆加梅. 不可复性关节盘移位患者术前张口度与关节镜术后疗效的相关性[J]. 国际口腔医学杂志, 1999, 26(06): .
[6] 王昆润. 重型颌面部炎症死亡和康复病例的实验室检查指标比较[J]. 国际口腔医学杂志, 1999, 26(06): .
[7] 王昆润. 二甲亚砜和双氯芬酸并用治疗根尖周炎[J]. 国际口腔医学杂志, 1999, 26(06): .
[8] 汤庆奋,王学侠. 17β-雌二醇对人类阴道和口腔颊粘膜的渗透性[J]. 国际口腔医学杂志, 1999, 26(06): .
[9] 王昆润. 咀嚼口香糖对牙周组织微循环的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[10] 宋红. 青少年牙周炎外周血分叶核粒细胞的趋化功能[J]. 国际口腔医学杂志, 1999, 26(06): .