孩童唾液腺結石－病例報告及文獻回顧

唾液腺結石一開始形成時並不會有任何的症狀，然而隨著時間，結石的累積與發炎而引起疼痛以及腺體腫大等症狀會越來越明顯，有些病患甚至會伴隨著張口困難等症狀。唾液腺結石罕見於孩童，尤其是10歲以下兒更加少見，要達到有效的治療，正確的診斷就顯得更加重要。本病例報告將描述一位六歲女童因右側下頷腫脹至台北榮民總醫院就診，理學撿查及口底X光片診斷爲下顎唾液腺結石合併下顎唾液腺炎。經抗生素服用後無法減輕症狀，由於患者年齡太小，爲保留下顎唾液腺功能，於是採用保守性治療，安排唾液腺結石移除術及造袋術。術後追蹤一年無復發跡象。經詳細病史回顧，該病童每日均固定服用鈣片及綜合維他命。回顧文獻，我們認這兒童唾液腺結石應採取保守治療；而發生唾液腺結石的成因應與飲食中高鈣含量有關。

關鍵字

孩童；造袋術；唾液腺結石

並列摘要

Sialolithiasis is not common in children, especially in those ages who were under ten. There is no symptom in the early stage, but tenderness and swelling of the affected glands will be encountered later. Some patients even had trismus. Accurate diagnosis and proper manipulation are critical for effective therapy. This case report described a six-year-old girl looked for help at Taipei Veterans General Hospital due to swelling of right upper neck. Physical examination and radiographies revealed sialolithiasis of right submandibular gland with chronic sialoadenitis. The symptoms did not improve after the empiric antibiotics treatment and she received sialolithotomy and marsupialization. There was no recurrence noted after one year follow up. Through inspection of her past history, she took oral calcium and multi-vitamin supplement every day. After reviewing of the literatures, we think the patient with pediatric sialolithiasis should be treated first with conservative treatment, and its pathogenesis should be correlated to the high dietary calcium intake.

並列關鍵字

children ； marsupialization ； sialolithiasis

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孩童唾液腺結石－病例報告及文獻回顧

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