수술 전 악하선 타석의 크기 측정

진효승; 최성용; 고재진; 손호진; 이효원; 이상열; 김정규

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자료유형: 학술저널

저자정보: 진효승 최성용 고재진 손호진 이효원 이상열 김정규

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제58권 제12호

발행연도: 2015.1

수록면: 865 - 869 (5page)

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연구주제

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연구배경

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연구방법

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연구결과

이 논문의 연구 히스토리 (2)

2016

수술 전 악하선 타석의 크기 측정

진효승 의학과 2016.01 학위논문

2015

수술 전 악하선 타석의 크기 측정

진효승 , 최성용 , 고재진 외 4명 대한이비인후-두경부외과학회지 2015.01 학술저널

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Background and Objectives The choice of optimal treatment methods among various gland preserving procedures including transoral surgery, sialendoscopy and extracorporeal lithotripsy for submandibular stones is mainly determined by the size of the stone. We tried to assess the accuracy of ultrasonography (USG) and computerized tomography (CT) for the preoperative estimation of submandibular gland stone size. Subjects and Method We retrospectively reviewed the medical records of 251 patients who were treated for submandibular stones from January 2008 to December 2014. Eighty patients who checked both preoperative USG and CT were included. Preoperative USG and CT measurements of the submandibular stones were compared to postoperative measurements of removed stones. Effects of stone location and presence of acute infection on preoperative measurements were also assessed. Results The mean submandibular gland stone size was 6.60±3.8 mm by USG, 7.23±4.0 mm by neck CT and 7.89±4.7 mm by the postoperative measurement. USG and CT showed good correlation with the postoperative measurement (correlation coefficient 0.912 and 0.940, respectively). The location of stone and presence of combined infection showed no significant impact on the accuracy of USG and CT measurement. Conclusion USG and neck CT showed high accuracy for predicting submandibular gland stone size. However, it should be taken into consideration that the stone size could be greater than that shown by preoperative measurement.

#Computed tomography #Sialolithiasis #Stone #Submandibular gland #Ultrasonography

참고문헌 (17)

참고문헌 신청

Capaccio P / 2004 / Extracorporeal lithotripsy for salivary calculi: a long-term clinical experience / Laryngoscope 114 (6) : 1069 ~ 1073

Capaccio P / 2007 / Modern management of obstructive salivary diseases / Acta Otorhinolaryngol Ital 27 (4) : 161 ~ 172

Escudier MP / 2010 / Factors influencing the outcome of extracorporeal shock wave lithotripsy in the management of salivary calculi / Laryngoscope 120 (8) : 1545 ~ 1549

Iro H / 2009 / Outcome of minimally invasive management of salivary calculi in 4,691patients / Laryngoscope 119 (2) : 263 ~ 268

Kim JK / 2007 / Ultrasound-guided transoral removal of impalpable hilar submandibular salivary stones / Laryngoscope 117 (8) : 1373 ~ 1375

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