改良面部除皱切口与改良Blair切口在腮腺浅叶肿瘤切除术中的对照研究  

Modified rhytidectomy incision and modified Blair incision contrast research in superficial parotid gland tumor resection

作　　者：徐志坚[1] 陈良嗣[2] 詹建东[2] 许咪咪[2] 张贝[2] 黄舒玲[2] 卢仲明[2] 罗小宁[2] 张思毅[2] 

机构地区：[1]惠州市中心人民医院耳鼻咽喉头颈外科,广东惠州516001 [2]广东省人民医院(广东省医学科学院)耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第21期1684-1687,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：广东省科技计划项目(No:2011B080701035);广东省医学科研基金(No:C2015026)

摘　　要：目的:评价改良面部除皱切口在腮腺浅叶肿瘤切除术中的应用价值。方法:收集2012-01-2015-01期间广东省人民医院耳鼻咽喉头颈外科收治的71例腮腺浅叶良性肿瘤患者。所有患者均实施面神经解剖加腮腺浅叶部分(或腮腺浅叶)切除术,其中采用改良面部除皱切口36例,改良Blair切口35例。比较2组术野暴露、手术时间、术中出血量、术后并发症发生率以及平均客观美容满意度评分。结果:在术野暴露、手术时间、术中出血量、术后暂时性面神经麻痹的发生率,2组间差异无统计学意义(P>0.05);而术后耳垂麻木发生率和平均客观美容满意度评分,改良面部除皱切口组均优于改良Blair切口组(P<0.05)。结论:在腮腺浅叶良性肿瘤切除术中,改良面部除皱切口可以达到改良Blair切口相同的术野暴露及手术效果,并避免了术后耳垂麻木的发生,同时切口相对隐蔽,术后美容效果良好,可供临床选择。Objective：Evaluate the application value of modified rhytidectomy incision in superficial parotid gland tumor resection.Method：Seventy-one patients with tumor in the superficial parotid were included in this study from January 2012 to January 2015.They all accepted superficial parotidectomy or subtotal superficial parotidectomy.Thirty-six cases used modified rhytidectomy incision and 35 cases used modified blair incision.The data of operative field exposure,operating time,bleeding,the rate of complication,score of patients′s satisfaction were recorded and compared between the two groups.Result：There was no statistically significant difference between the two groups in the operative field exposure,operating time and bleeding（P0.05）.No difference was found between the two groups in the rate of facioplegia,while the rate of insensible earlobe in the modified rhytidectomy incision group was significantly lower than the modified blair incision group（P0.05）.The score of patient＇s satisfaction in the modified rhytidectomy incision group was significantly higher than the other group（P0.05）.Conclusion：The modified rhytidectomy incision provides good exposure and has the advantage of less complication and better cosmetic outcome.It is worthy of wide clinical application.

关 键 词：腮腺手术 改良面部除皱切口 改良Blair切口 美容 面神经 

分 类 号：R762[医药卫生—耳鼻咽喉科]