关键词: 黏液腺囊肿, 激光治疗, 手术治疗

Abstract: PURPOSE: To observe the curative effect of 810 nm diode laser in the treatment of salivary gland mucocele. METHODS: Forty-two patients with salivary gland mucocele who were treated at the Department of Stomatology, General Hospital of Northern Theater Command from March 2018 to June 2019 were selected. According to the treatment methods, they were divided into traditional surgery group(n=22) and laser treatment group(n=20). The VAS of postoperative pain degree,operating time,security,therapeutic effect of the two groups were evaluated. SPSS 25.0 software package was used for data analysis. RESULTS: The pain scores of the first 3 days after surgery in the laser treatment group were significantly lower than those in the traditional surgery group(P<0.05). The operation time of laser treatment group was (13.60±1.60) min, which was significantly shorter than that of conventional surgery group (16.10±1.18) min(P<0.05). The incidence of pain or paresthesia at 24 h and swelling at 48 h in the laser treatment group was significantly lower than that in the traditional surgery group (P<0.05), but there was no significant difference in the incidence of local exudation at 48 h, pigmentation one month later, local sclerosis or scar formation between the two groups(P>0.05). There was no significant difference in the cure rate at 3 months, 6 months, 1 year and 2 years between the two groups (P>0.05). CONCLUSIONS: The application of 810 nm diode laser in the treatment of salivary gland mucocele has the advantages of no bleeding in the whole process, short operation time, low recurrence rate and fewer postoperative reactions. It can be used as a new option for patients who cannot accept surgery.

Key words: Salivary gland mucocele, Diode laser treatment, Surgical treatment