腮腺肿瘤术后味觉出汗综合征的临床分析及治疗  

Analysis on the Influencing Factors and Clinical Treatment of Gustatory Sweating Syndrome after Parotid Tumor Surgery

作　　者：柳锋[1] 

机构地区：[1]孝感市中心医院口腔科,湖北孝感432000

出　　处：《医学综述》2014年第8期1526-1528,共3页Medical Recapitulate

摘　　要：目的观察分析腮腺肿瘤术后味觉出汗综合征的临床分析及治疗。方法选取2011年3月至2012年3月孝感市中心医院收治的腮腺肿瘤患者75例。回顾性分析入选75例患者的一般资料以及手术情况,对比并发症组43例和非并发症组32例两组患者的情况以及临床治疗效果。结果并发症组和非并发症组两组患者在性别和肿瘤类型对比上差异无统计学意义;两组手术类型比较差异有统计学意义(P<0.05),非并发症组患者主要采用游离保留面部表浅肌肉腱膜系统(SMAS)法和非游离保留SMAS法两种手术治疗方式,而并发症组则主要是采用未保留SMAS法。未保留SMAS法的味觉出汗综合征比率高达94.4%,显著高于另外两组采用保留SMAS法,而两组采用保留SMAS法对比,则游离SMAS法的味觉出汗综合征的并发率显著低于非游离保留SMAS法。采用药物治疗对比另外两种治疗方法,其复发率较高,但不良反应则较低;而采用肉毒素杆菌治疗的不良反应较高;而手术治疗风险性较低,不良反应较为严重。结论手术方式选择是影响腮腺肿瘤术后出现味觉出汗综合征的主要影响原因。临床治疗味觉出汗综合征的效果较不满意,不同的治疗方法其并发症率以及复发率等均较高。Objective To observe and analyze the affecting factors and clinical treatment for gustatory sweating syndrome after parotid tumor surgery. Methods From Xiaogan Central Hospital during Mar. 2011 and Mar. 2012,75 cases of patients with parotid tumors were selected. A retrospective analysis of the general information as well as operation situation of the 75 patients was done, to the situation and clinical effect of complication group（43 cases） and non-complication group （ 32 cases） were compared. Results Gender and tumor type had no statistically significant difference between the complication group and non-complication group ; while the type of surgery was obviously an important affecting factor of parotid tumors gustatory swea- ting syndrome, free and non-free reservations SMAS two surgical treatments were mainly used for non-complication group, and unreserved SMAS method was mainly used for complication group. Gustatory sweating syndrome rate of the unreserved SMAS method was as high as 94.4%, significantly higher than the other two reserved SMAS method, the gustatory sweating syndrome complication rate of free reserved SMAS was significantly lower than the non-free reservations SMAS method. Drug therapy compared with the other two treatments,the recurrence rate was higher,but the adverse reaction was lower; while the use of botulinum toxin treatment had higher adverse reactions; the risk of surgical treatment was lower, but the adverse reactions were more serious. Conclusion Surgical options is the main influencing factor of the gustatory sweating syndrome syndrome after parotid tumor surgery. The clinical therapeutic effect of Frey＇s syndrome is not satisfactory, the complication rate and recurrence rate of different treatments are all high.

关 键 词：腮腺肿瘤 味觉出汗综合征 临床分析 临床治疗 

分 类 号：R739.8[医药卫生—肿瘤]