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Color Doppler ultrasound and the diagnosis of bladder lesions


r [J]. RadiolClinNorthAm, 2007,[link widoczny dla zalogowanych],45 (1) :183-205. [5] Cheng Yung-Kun, Li Xianlan, Qian Ying, et al. Ultrasonography and color Doppler flow imaging in the diagnosis of bladder cancer [J]. China Clinic Medical Imaging, 2001,12 (1): 34. (Received :2007-03-07) Sheqian human salivary gland is smaller in size by a pair of glands, in the past very little attention. Their lack of knowledge of anatomy and physiology. Sheqian cyst easily confused with other minor salivary gland cysts. Therefore it is necessary to Sheqian cyst recurrence of the anatomical features of its causes and surgical re-explore, to seek a more reasonable treatment. Clinical data 1 1.1 General Information, 1995-2005 Division I Sheqian gland cysts treated a total of 65 cases were confirmed by pathology after operation, 30 patients were male and 35 female, aged 6 to 57 years, mean 16. 5 years old, mostly to children. Of which 25 cases were removed using the traditional spindle patients relapse once or several times, and the remaining 40 patients with newly diagnosed patients. 1.2 Surgical methods All patients Sheqian cyst and gland disease side Sheqian complete surgical removal of method, cysts, or spread to both sides of the large and middle Sheqian gland cyst and bilateral Sheqian gland with complete surgical removal methods. 1.3 Results After 3 months of a 2-year follow-up, surgical result is good, no case of recurrence. Anatomy of the human body is divided into 2 major salivary glands and small salivary glands, major salivary glands including parotid, submandibular and sublingual gland, the rest are minor salivary glands. In fact Sheqian gland is between the major salivary glands and small salivary glands on the author between the 4 units: Central Hospital of Fushun, Liaoning Province 113006 Sheqian cyst dental treatment of 65 patients with larger glands Ma Liqiang Zhou Xiaolin. The review of the literature and observed and measured in Sheqian gland surgery specimens. Both anatomy and the location has its distinctive features, but in the past few descriptions of oral medical books. Sheqian abdominal gland in the tongue of about 1.0cm from the tip of the tongue's midline. About the size of 0.5cmX0.5cm a 1.0cmX1.0cm. For the solid circular glands, the capsule is not obvious. Around glands near the middle are only separated by a thin layer of connective tissue. 3 Discussion Sheqian ventral gland located in the submucosal tongue, also known as Nubn gland duct openings in the tongue tie on both sides,[link widoczny dla zalogowanych], from the age of onset, this disease in adolescents, the minimum is 6 years old. 14 to 20 years old the most common, accounting for 86%. I believe that the permanent dentition may be more sharp cutting edge,[link widoczny dla zalogowanych], turn on primary and permanent dentition missing. Glandular secretion of strong this age, and activities between the tongue, mucous membrane fragility easy damage. Sheqian cyst recurrence mainly on Sheqian gland anatomy of lack of understanding between the gland, surgery can not completely removed Sheqian glands, glands of postoperative residual part of the Sheqian, the recurrence rate is extremely high. As long as familiar with the anatomy of Sheqian gland, can be given to complete removal. So on Sheqian cyst should be re-understanding, a few cases of repeated Sheqian cyst recurrence. Cysts in the end if it can not determine from which side of the Sheqian gland, are also bilateral Sheqian glands removed to prevent relapse. More than ever because Sheqian cyst was mistaken for a small mucous gland cyst, the cyst generally use the traditional surgical method and the overall incidence of glands removed. Because of the small mucous glands, small size, superficial location, the use of the fusiform excision methods,[link widoczny dla zalogowanych], the vast majority heal and no recurrence. But Sheqian smaller gland mucous gland volume is big and deep location. The use of a surgical resection of the spindle, the result is only part of the cyst and gland Sheqian be removed. Most Sheqian residual gland, which is the relapse rate after high Sheqian cyst reasons. Sheqian gland cyst based on the anatomy and cause analysis, we modified the previous surgical procedures, using the same side Sheqian gland cyst and complete method of extraction, if the cyst base larger and harder. And centrally located or involving bilateral Sheqian glands, glands with cyst excision and bilateral Sheqian methods, using longitudinal incision. If the cysts and glands do not, according to the direction of incision,[link widoczny dla zalogowanych], suture of the position can, if large or bilateral Sheqian gland cyst resection with transverse suture, as far as possible to maintain the tip shape. Principle similar to the sublingual gland surgery surgical cyst, recurrent and newly diagnosed patients on follow-up showed no recurrence after surgery with excellent results. I believe that the choice of any of surgical anatomy should be established on the basis of the right, only a full understanding of the relevant anatomy, to take reasonable treatment to prevent recurrence. I believe that the anatomical characteristics of Sheqian gland and cyst of surgery should be re-understanding of the surgical Sheqian cyst cyst and should be complete removal of ipsilateral Sheqian gland. Large or spread to both sides and center of the cyst should be removed and bilateral Sheqian gland, to avoid recurrence. (Received :2006-12-1
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