腮腺咬肌筋膜联合异种脱细胞真皮基质预防味觉出汗综合征的作用研究  

Study on Acellular Dermal Matrix and reconstructing parotid fascia in the prevention of the Frey's syndrome after parotidectomy

作　　者：辛江波[1] 蔡现良[1] 

机构地区：[1]河北省邢台市眼科医院口腔颌面外科,河北邢台054001

出　　处：《中国美容医学》2012年第12期2204-2206,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:研究应用腮腺咬肌筋膜联合异种脱细胞真皮基质预防腮腺术后味觉出汗综合征的效果。方法:将2005年6月～2008年6月邢台市眼科医院口腔外科收治的腮腺浅叶良性肿瘤患者50例,分为3组:研究组(A组)13例,行保留咬肌筋膜的腮腺肿瘤及腮腺组织浅叶切除术。研究组(B组)14例,腮腺肿瘤及腮腺组织浅叶切除术后,根据咬肌筋膜缺损大小植入异种脱细胞真皮基质。对照组(C组)23例,单纯行腮腺肿瘤及浅叶组织切除。结果:术后随访12个月,对所有病例进行客观评价,出现味觉出汗综合征的有A组1/13例(7.69%)、B组1/14例(7.14%)、C组15/23例(65.22%)。A组与C组比较,B组与C组比较,均有显著统计学差异(P<0.05),A组与B组两者之间并无明显统计学差异。结论:保留腮腺咬肌筋膜能够有效预防味觉出汗综合征,应首先使用;对于无法完整保留腮腺咬肌筋膜者,再利用异体脱细胞真皮基质修复筋膜缺损区域,同样能够预防味觉出汗综合征的发生。Objective To elvaluate the efficiency of Acellular Dermal Matrix and reconstructing parotid fascia in the prevention of the frey＇s syndrome after parotidectomy. Methods 50 subtotalparotidectomy cases were consisted in this study and subdivided into three groups randomly.The group A used reconstructing parotid fascia.The group B used Acellular Dermal Matrix.While the group C kept blank,with no transplant was inserted.All cases were followed up one year after operation.and the Minor Test was done to elvaluate the incidence of the Frey＇s syndrome. Results The incidence of frey＇s syndrome group A was 7.69%,group B was 7.14 %,while was 65. 22% in the control group （P〈O.05）. Conclusion Reconstructing parotid fascia parotidectomy can efficiently prevent Frey＇s syndrome, it should be used for first. Transplantation of acellular dermal matrix if the reconstructing parotid fascia parotidectomy can not be used can efficiently prevent Frev＇s syndrome too.

关 键 词：腮腺咬肌筋膜 异种脱细胞真皮基质 味觉出汗综合征 腮腺切除术 

分 类 号：R622[医药卫生—整形外科]