保留耳大神经与腮腺筋膜的腮腺区域性切除术治疗腮腺良性肿瘤疗效分析  

Efficacy analysis of parotid regional resection with preserved ear nerves and parotid fascia in the treatment of parotid benign tumor

作　　者：杨启明[1] 钟庄龙 邓四海 钟纯[1] 黄仁财 

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

出　　处：《中国现代医生》2017年第13期51-53,57,共4页China Modern Doctor

基　　金：江西省萍乡市指导性科技计划立项项目(2015N014)

摘　　要：目的探讨采用保留耳大神经与腮腺筋膜的腮腺区域性切除术治疗腮腺良性肿瘤的疗效。方法对2010年1月~2015年6月收治的89例腮腺良性肿瘤患者,随机分组采用传统腮腺切除术与保留耳大神经束与腮腺筋膜的后径路腮腺区域性切除术行手术治疗,对手术时间、术后局部麻木、Frey综合征、面瘫及术后复发情况进行分析。结果两组在术后复发、手术时间、面瘫发生率方面比较差异均无统计学意义(P>0.05),在术后6个月局部麻木、Frey综合征方面差异均有统计学意义(P<0.05)。结论采用保留耳大神经与腮腺筋膜的腮腺区域性切除术能取得与传统手术一致的疗效,但术后局部麻木、Frey综合征方面明显优于传统术式,且局部无凹陷畸形,更大程度的符合功能性外科的要求。Objective To explore the efficacy of parotid regional resection with preserved ear nerves and parotid fascia in the treatment of parotid benign tumor. Methods 89 patients with benign tumors of parotid gland treated from January 2010 to June 2015 were randomly devided into two groups and treated with traditional parotidectomy and regional resection with preserved ear nerves and parotid fascia, respectively. The surgical time, postoperative local numbness, Frey syndrome, facial paralysis and postoperative recurrence were analyzed. Results There were no significant differences in the incidence of postoperative recurrence, operation time and facial paralysis between the two groups（P〉0.05）. There were significant differences in local numbness and Frey syndrome after operation six months（P〈0.05）. Conclusion Parotid regional resection with preserved ear nerves and parotid fascia can achieve the same effect with the traditional surgery, with a better advantage in local postoperative numbness, frey syndrome than those in the traditional surgical procedures, and without local depression deformity, which meet the requirements of functional surgery to a greater extent.

关 键 词：保留耳大神经 腮腺筋膜 腮腺区域性切除 腮腺良性肿瘤 功能性外科 

分 类 号：R739.9[医药卫生—肿瘤]