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混合瘤的效果观察  

Effects of regional resection of parotid gland in the posterior path with keeping great auricularnerve tract and parotid fascia in the treatment of parotid mixed tumor

作　　者：尹刚 Yin Gang(Department of Stomatology, Fenyang Hospital, Fenyang 032200, Chin)

机构地区：[1]山西省汾阳医院口腔科,032200

出　　处：《中国实用医刊》2018年第9期94-97,共4页Chinese Journal of Practical Medicine

摘　　要：目的 探究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混合瘤的效果.方法 回顾性分析接受手术治疗的86例腮腺混合瘤患者的临床资料,采取保留耳大神经束与腮腺筋膜的后径路腮腺区域性切除术的43例患者设为观察组,采取传统腮腺切除术的43例患者设为对照组.比较两组手术用时与术后面瘫、局部麻木、Frey综合征发生率,并比较两组术后6个月复发情况与术前、术后6个月生活质量评分.结果 两组手术用时与术后面瘫发生率比较差异未见统计学意义（P〉0.05）;观察组术后6个月的局部麻木与Frey综合征发生率分别为48.84％（21/43）、9.30％（4/43）,均低于对照组的69.77％（30/43）、27.91％（12/43）,差异有统计学意义（P〈0.05）;观察组术后6个月复发率[2.33％（1/43）]与对照组[0（0/43）]比较差异未见统计学意义（P〉0.05）.术前两组精神状态、健康状况、生理功能、社会功能等生活质量各维度评分比较差异未见统计学意义（P〉0.05）;术后6个月观察组上述生活质量各维度评分均高于对照组,差异有统计学意义（P〈0.05）.结论 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混合瘤,可减轻手术创伤,降低术后局部麻木与Frey综合征发生风险,提高患者生活质量.Objective To investigate the effects of regional resection of parotid gland in the pos-terior path with keeping great auricular nerve tract and parotid fascia in the treatment of parotid mixed tumor. Methods The clinical data of 86 patients with parotid mixed tumor were retrospectively ana-lyzed, of which 43 cases treated by regional resection of parotid gland in tile posterior path with keeping great auricular nerve tract and parotid fascia were taken as observation group and 43 cases treated by tra-ditional parotidectomy were taken as control group. The incidence of facial paralysis, local numbness and Frey syndrome were compared between the two groups. The recurrence rate 6 months after operation and the quality of life score before operation and 6 months after operation were compared between the twogroups. Results There was no significant difference in the operation time and incidence of facial paraly-sis between the two groups （P 〉 0. 05). The incidence of local numbness and Frey syndrome in observa-tion group 6 months after operation was 48.84% （21/43） and 9.30% （4/43）, respectively, which were lower than those in control group [69.77% （30/43）, 27.91% （12/43） ], P 〈0. 05. There were significant differences in recurrence rate 6 months after operation between observation group [ 2. 33% （1/43） ] and control group [0 （0/43）], P 〉0. 05. There was no significant difference between the two groups in mental state, health status, physiological function, social function and other dimensions of life quality before operation (P 〉 0. 05). The scores of all dimensions of the quality of life in observation group were higher than those in control group 6 months after operation （P 〈 0.05）. Conclusions The regional resection of parotid gland in the posterior path with keeping great auricular nerve tract and parot-id fascia in the treatment of parotid mixed tumor can reduce the surgical trauma and risk of local numb-ness and Frey syndrome after operation, and improve the quality of life

关 键 词：腮腺混合瘤 后径路腮腺区域性切除术 腮腺筋膜 并发症 

分 类 号：R739.8[医药卫生—肿瘤]