下颌后入路功能性切除术治疗腮腺良性肿瘤  

The clinic effect of functional parotidectomy in benign parotid tumors by retromandibular approach

作　　者：李金[1,2] 陈巨峰[1,2] 冼淡[1,2] 李嘉朋[1,2] 劳均平[1,2] 莫础嘉[1,2] 梁永棠[1,2] 

机构地区：[1]广东省佛山市第一人民医院 [2]中山大学附属佛山医院口腔科,528000

出　　处：《中华口腔医学研究杂志（电子版）》2012年第6期32-34,共3页Chinese Journal of Stomatological Research(Electronic Edition)

摘　　要：目的探讨经下颌后入路进行腮腺良性肿瘤功能性切除的临床效果。方法腮腺良性肿瘤45例,经行下颌后入路功能性肿瘤切除术,并与45例行传统腮腺浅叶切除术的病例做对比研究,分析其临床疗效及术后并发症。结果两组病例术后均无复发,经下颌后入路的功能性切除组术后出现唾液腺瘘(χ2=5.29,P<0.05)、面瘫(χ2=11.28,P<0.05)、味觉出汗综合征(χ2=11.25,P<0.05)等并发症明显低于浅叶切除组,两组间差异有统计学意义(P<0.05)。结论在治疗腮腺良性肿瘤时,下颌后入路功能性切除术较传统的腮腺浅叶切除术具有明显优势,值得推广。Objective To evaluate the clinic effect of functional parotidectomy by retromandibular approach in benign parotid tumors. Methods The clinic effect and complication were compared between forty-five patients of benign parotid tumors underwent functional parotidectomy by retromandibular approach and forty-five patients selected randomly from the medical record who underwent superficial parotidectomy. The clinical clinical effects complication was recorded. Results The recurrence rate was not significantly different between the two groups, but the complications （facial paralysis, Frey＇s syndrome and salivary fistula） in functional parotidectomy group were lower than that of superficial parotidectomy group （P 〈 0.05）. Conclusion Functional parotideetomy in benign parotid tumors by retromandibular approach could reserve more parotid gland tissue, cause less complication and can be a good choice for the treatment of benign parotid tumors.

关 键 词：腮腺良性肿瘤 下颌后入路 功能性切除 浅叶切除术 

分 类 号：R739.8[医药卫生—肿瘤]