不同切口腮腺肿瘤切除术术后并发症及对生活质量的影响  

Postoperative Complications of Different Incisions of Parotidectomy in Benign Parotid Tumor and the Impact on Life Quality

作　　者：何馨[1] 王玲[1] 张玉峰[1] 宋磊[1] 姜艳秋[1] 

机构地区：[1]江苏徐州医学院第二附属医院(徐州矿务集团总医院)口腔科,江苏徐州221000

出　　处：《现代生物医学进展》2017年第26期5103-5106,共4页Progress in Modern Biomedicine

摘　　要：目的:探讨不同切口腮腺肿瘤切除术对良性腮腺肿瘤的术后并发症及对患者生活质量的影响。方法:收取2010年1月至2015年1月间于我院接受改良腮腺肿瘤切除术的良性腮腺肿瘤患者62例作为研究对象进行随机对照试验,平均分为A、B两组,A组采用改良S型切口,B组采用耳后隐蔽切口。对两组围术期指标、术后并发症以及对患者生活质量的影响进行考察与比较。结果:两组患者手术时间、术中出血量、术后引流量以及术后住院时间相较均无显著差异(P>0.05)。A组患者早期并发症发生率为29.03%,远期并发症发生率为25.81%;B组患者早期及远期并发症发生率分别为19.35%及12.90%,两组相较无显著差异(P>0.05)。A组患者术后疼痛及情绪优于术前,外貌、味觉及咀嚼功能均差于术前(P<0.05)。B组患者术后疼痛、情绪均优于术前(P<0.05)。术后A组患者外貌及情绪均不及B组,差异有统计学意义(P<0.05)。结论:耳后隐蔽切口改良腮腺肿瘤切除术对良性腮腺肿瘤患者安全性好,患者生活质量优于改良S型切口腮腺切除,值得临床推广。Objective： To explore the postoperative complications of different incisions of parotidectomy in benign parotid tumor and the impact on life quality. Methods： 62 patients with benign parotid tumor underwent improved parotidectomy in our hospital from January 2010 to January 2015 were selected and randomly divided into group A and group B. The patients in group A were using improved S incision, and the patients in group B were using postauricular concealing incision. Then the perioperative indexes, complications after surgery and the influences to life quality of 2 groups were observed and compared. Results： The surgery time, blood loss, postoperative suction drainage and hospital stays of 2 groups had no great differences （P〉0.05）. The early and forward complication rate of group A was 29.03 % and 25.81% respectively, of group B was 19.35 % and 12.90 % respectively. There were no differences between them （P〉0.05）. The scores of pain and emotion after surgery of group A were getting better, and appearance, smell and chewing function was getting worse than before surgery with statistically significance （P〈0.05）. The scores of pain and emotion after surgery of group B were getting better than before （P〈0.05）. The scores of appearance and emotion of group A were worse than those of group B with statistically significance （P〈0.05）. Conclusions： Using postauricular concealing incision can obtain good life quality and safety for the patients with benign parotid tumor, which is superior to improved S incision, worthy of clinical applications.

关 键 词：良性腮腺肿瘤 改良腮腺肿瘤切除术 改良S型切口 耳后隐蔽切口 生活质量 

分 类 号：R739.8[医药卫生—肿瘤]