保留耳大神经束与腮腺筋膜的后径路腮腺区域性切除术临床疗效分析  

The clinical efficacy analysis of the surgery of the posterior approach parotid gland region resection preserving retinal ganglion and parotid fascia

作　　者：钟庄龙 杨启明[1] 邓四海 钟纯[1] 黄仁财 

机构地区：[1]萍乡市人民医院耳鼻咽喉头颈外科,江西萍乡337000 [2]萍乡市人民医院口腔颌面外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第8期616-618,622,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨采用保留耳大神经束与腮腺筋膜的后径路腮腺区域性切除术治疗腮腺良性肿瘤的临床疗效。方法:将112例腮腺良性肿瘤患者随机分为对照组和治疗组,对照组行保留耳大神经与腮腺筋膜的前径路腮腺区域性切除术,治疗组行保留耳大神经束与腮腺筋膜的后径路腮腺区域性切除术。对两组患者的手术时间、术后局部麻木、Frey综合征、面瘫及术后复发情况等临床数据进行分析。结果:两组术后复发、手术时间、面瘫发生率比较,差异均无统计学意义(均P>0.05)。但术后6个月,对照组局部麻木率以及Frey综合征发生率更高,差异均有统计学意义(均P<0.05)。结论:采用保留耳大神经束与腮腺筋膜的后径路腮腺区域性切除术能取得与传统手术一致的疗效,并发症少,术后瘢痕明显缩小且局部无凹陷畸形,更大程度上符合美容及功能性外科的要求。Objective： To explore the clinical efficacy analysis the surgery of the posterior approach parotid gland resection preserving retinal ganglion and parotid fascia for the treatment of benign parotid tumour. Method： One hundred and twelve cases were randomly divided into control group and treatment group. The control group was treated by anterior approach parotid gland region resection preserving retinal ganglion and parotid fascia. The treatment group was treated by posterior approach parotid gland region resection preserving retinal ganglion and parotid fascia. The data of operation time, postoperative local numbness, Frey syndrome, facial paralysis and postoperative recurrence case were analyzed. Result： There was no postoperative recurrence case in both two groups, and there was no significant difference between two the groups in operation time and the percent of facial paralysis（all P〉0.05）. However, the percent of postoperative local numbness and Frey syndrome in control group were significantly higher than those in treatment group（all P〈0.05）. Conclusion： The treatment group had similar clinical efficacy with the traditional surgical operation. In addition, the operation of treatment group contributed to decreased postoperative complications.

关 键 词：腮腺肿瘤 腮腺筋膜 外科手术 

分 类 号：R739.6[医药卫生—肿瘤]