背景:唾液分泌不足是一种具有多种症状的疾病。这种疾病很难诊断和治疗,并且没有足够的临床方案来治愈这种疾病。在这项研究中,我们提出了自己的治疗方案,这些方案不仅旨在治愈疾病,还旨在护理与疾病相关的症状。
方法:第一次就诊时,我们收集患者相关信息.该程序包括口内检查,患者病史记录,VAS值和未刺激的全唾液(UWS)测量,和唾液缓冲液测试。面试和口试后,通过放射学图像获得客观结果,CT,和唾液显像。在第二次访问中,我们分析X线影像,包括颈部CT和唾液闪烁显像.这些图像可以进行准确的诊断,并帮助患者更好地了解当前状况。根据症状的严重程度和患者的不适,我们在第3次访问时尝试了手术方法,鼻内镜检查。
结果:治疗后,我们可以控制患者在日常生活中的不适。随着唾液酸内镜的试验,患者的VAS值逐渐下降。在干燥综合征患者的情况下,治疗效果随着治疗反应性低而降低。这种治疗的真正意义不仅在于治愈疾病,还要照顾被打乱的病人.总的来说,UWS的数量随着手术后的进展而增加。特别是在第一次访问的较低UWS中,手术后有更显著的增加。
结论:尽管尚未确定引起唾液分泌减少的许多因素,观察了鼻内镜对缓解患者不适的疗效。然而,全身性疾病患者组的治疗更为困难和复杂。这项研究将不仅提出了一个治疗方案,为病人排尿,还要考虑更精确诊断和提高治疗效果的方法。在某些情况下,唾液分泌不足是一种可治愈且可控制的疾病,所以临床医生和病人之间的解释很重要。
BACKGROUND: Hyposalivation is disease with multiple symptoms. This disease is hard to be diagnosed and to be treated, and there are not enough clinical protocols to cure the disease. In this
study, we propose our own treatment protocols which aim not only to cure the disease but also to care for the disease-related symptoms.
METHODS: At the 1st visit, we collect patient-related information. This procedure includes an intraoral exam, patient history taking, VAS value and unstimulated whole saliva (UWS) measurement, and salivary buffer test. Following the interview and oral examination, objective results are obtained by radiological image, CT, and sialoscintigraphy. At the 2nd visit, we analyze radiographic images including neck CT and salivary scintigraphy. These images can allow accurate diagnosis and help the patients to better understand the current condition. Depending on the severity of symptoms and patient\'s discomfort, we try a surgical approach at the 3rd visit,
sialendoscopy.
RESULTS: With treatment, we can manage the discomfort of patients in daily life. The VAS value of hyposalivation patients dropped gradually with the
trial of
sialendoscopy. In the case of Sjogren\'s syndrome patients, the treatment efficacy has been decreased with low reactivity of treatment. The true meaning of this treatment is in not only curing the disease, but also caring for the disrupted patients. Overall, the amount of UWS increased with the progress after the procedure. Especially in the lower UWS at the 1st visit, there was a more significant increase after the procedure.
CONCLUSIONS: Although many factors that cause hyposalivation have not been identified, the efficacy of
sialendoscopy to relieve discomfort in hyposalivation patients has been observed. However, treatment was more difficult and complicated in the group of patients with systemic disease. This
study will not only present a treatment protocol for hyposalivation patients, but also consider methods for diagnosing more precisely and improving treatment efficacy. Hyposalivation is a curable and manageable disease in some cases, so interpretation between the clinician and the patient is important.