区域性切除术在腮腺浅叶良性肿瘤治疗中的应用研究  

Application of regional resection to treatment of superficial parotid benign tumor

作　　者：李趣[1] LI Qu(Department of Otolaryngology Head and Neck surgery, the First People′s Hospital of Nanning, Nanning Guangxi 530022, Chin)

机构地区：[1]广西南宁市第一人民医院耳鼻咽喉头颈外科,南宁市530022

出　　处：《微创医学》2018年第4期442-444,共3页Journal of Minimally Invasive Medicine

基　　金：广西区卫计委医药卫生科研课题(编号:Z2015278)

摘　　要：目的探讨区域性切除术治疗腮腺浅叶良性肿瘤的临床效果。方法选取我院收治的76例腮腺浅叶良性肿瘤患者为观察对象,随机分为观察组与对照组,各38例。对照组给予腮腺浅叶切除术治疗,观察组给予区域性切除术治疗,并对两组手术指标、治疗效果、神经损伤程度及并发症等情况进行对比分析。结果观察组切口长度、术中出血量、手术时间及解剖面部神经支数均明显短于(少于)对照组,差异均有统计学意义(P<0.05)。观察组神经损伤程度明显轻于对照组,差异有统计学意义(P<0.05)。两组术区凹陷明显、Frey综合征、涎瘘发生率及复发率比较,差异均无统计学意义(P>0.05)。观察组耳周麻木发生率明显低于对照组,差异有统计学意义(P<0.05)。结论对腮腺浅叶良性肿瘤应用区域性切除术治疗,具有创伤较小、术后恢复快、并发症少等特点,宜在临床推广应用。Objective To explore the clinical efficacy of regional resection for superficial parotid benign tumor. Methods A total of 76 patients with superficial parotid benign tumor were enrolled and were randomly divided into observation group and control group, with 38 cases in each group. The control group was treated with superficial parotidectomy, and the observation group with regional resection. The operative indices , therapeutic efficacy, severity of nerve injury and complications were compared between the two groups. Results The incision length, intraoperative blood loss, operation duration and the number of facial nerve dissected in the observation group were shorter or less than those of the control group （ P 〈0.05）. The severity of nerve injury in the observation group was milder than that in the control group （ P 〈0.05）.There were no significant differences in the incident rates of sunken surgical region, Frey syndrome and salivary fistula , and recurrence rate between the two groups（ P 〉0.05）. The incident rate of ear numbness of the observation group was significantly lower than that of the control group （ P 〈0.05）. Conclusion Application of regional resection to superficial parotid benign tumor has the advantages of less trauma, rapid postoperative recovery and fewer complications, and is worthy of clinical promotion and application.

关 键 词：腮腺 良性肿瘤 区域性切除术 临床效果 

分 类 号：R739.8[医药卫生—肿瘤]