内镜辅助下切除颌面部良性肿瘤的效果评价  

Clinical research on endoscopic-assisted resection of benign maxillofacial tumors

作　　者：张大明[1] 杨朝晖[1] 王友元[1] 梁启祥[1] 范松[1] 林钊宇[1] 陈伟良[1] 张彬[1] 

机构地区：[1]中山大学孙逸仙纪念医院口腔颌面外科,广东广州510120

出　　处：《中国口腔颌面外科杂志》2015年第6期554-557,共4页China Journal of Oral and Maxillofacial Surgery

摘　　要：目的 :探讨内镜辅助下颌面部良性肿瘤切除的可靠性。方法 :18例颌面部良性肿瘤患者,男7例,女11例;年龄5~34岁,平均16.8岁。前额部纤维瘤3例、脂肪瘤4例;颧部脂肪瘤2例、肌内静脉畸形3例、皮样囊肿6例。肿物大小1.7 cm×2.2 cm^2.0 cm×3.2 cm。全部病例在内镜辅助下耳屏前或发际切口切除。结果:全部肿瘤完整切除,手术时间45~75 min,平均54 min。术中出血量6~15 mL,平均8.5 mL。手术过程顺利,切口一期愈合。随访2~8个月,肿瘤无复发,瘢痕隐蔽,美容效果好。结论:内镜辅助下耳屏前或额部单通道小切口切除颌面部良性肿瘤安全、可靠,瘢痕隐蔽,美容效果好。PURPOSE ： To assess the reliability and usefulness of endoscopic-assisted resection of benign tumors in the maxillofacial region. METHODS ： Eighteen benign tumors were located in the maxillofacial region. Among them, seven patients were males and eleven patients were females; the age of the patients ranged from 5 to 34 years （average 16.8 years）. The sizes of tumors ranged from 1.7 cm×2.2 cm to 2.0 cm×3.2 cm. Endoscopic-assisted minimally invasive approaches were used for tumor resection. RESULTS ： All tumors were successfully resected using an endoscopic-assisted technique. The operation time was 45-75 min while an estimated blood loss was about 6-15 mL（average 8.5 mL）. The patients were followed up for 2-8 months, there was no recurrence, and postoperative facial appearance was good. CONCLUSIONS ： Endoscopic-assisted resection of benign tumours of the maxillofacial region is a simple and safe technique that achieves excellent aesthetic results.

关 键 词：内镜技术 良性肿瘤 颌面部 

分 类 号：R739.8[医药卫生—肿瘤]