腮腺良性肿瘤切除中胸锁乳突肌皮瓣的应用分析  

Application of sternocleidomastoid flaps in the resection of benign parotid tumors

作　　者：周长华[1] 桂明才[1] 徐丹[1] 刘波[1] 

机构地区：[1]达州市中心医院耳鼻咽喉头颈外科,四川达州635000

出　　处：《山东大学耳鼻喉眼学报》2016年第6期46-48,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的 探讨腮腺良性肿瘤切除中胸锁乳突肌皮瓣的应用效果。方法 选取腮腺良性肿瘤患者84例,以随机数字表法分成对照组和实验组,各42例。对照组接受常规腮腺切除术治疗,实验组常规切除腮腺病变后,采用胸锁乳突肌皮瓣转移填充术区凹陷行修复治疗。随访6~12个月,对比两组术后并发症发生率和肿瘤复发率。结果实验组术后并发症发生率14.29%,低于对照组的52.38%,差异有统计学意义（P〈0.01）。两组肿瘤复发率差异无统计学意义（P〉0.05）。结论 在腮腺良性肿瘤切除中应用胸锁乳突肌皮瓣修复术区凹陷,可有效降低并发症风险,同时不影响手术效果,值得临床推广。Objective To investigate the application effect of stemocleidomastoid flaps in the resection of benign parotid tumors. Methods Eighty-four patients with benign parotid tumors were randomly divided into control group （n = 42） and experimental group （ n = 42）. The patients in control group were treated with traditional parotidectomy, while those in experimental group with sternocleidomastoid flap transferred to fill sunken operative area for repair after routine resection of parotid lesions. The follow-up was 6-12 months. The incidence of postoperative complications and tumor recurrence rate were compared in two groups. Results The incidence of postoperative complications in experimental group （ 14.29% ） was significantly lower than that in control group （52.38%）, and the difference was statistically significant （P 〈 0.01 ）. There was no statistical significance between two groups by comparison to the tumor recurrence rate （P 〉 0.05）. Conclusion Application of stemocleidomastoid flaps in benign parotid tumors to repair the sunken operative area can effectively reduce the risk of complications and the surgical effect isn＇t impacted, so it is worthy of promotion.

关 键 词：腮腺良性肿瘤 胸锁乳突肌皮瓣 味觉出汗综合征 术区凹陷畸形 涎瘘 

分 类 号：R739.6[医药卫生—肿瘤]