胸锁乳突肌肌瓣与美容切口在腮腺肿瘤术中的应用  

The application of sternocleidomastoid muscle flap and cosmetic incision for resection of parotid tumor

作　　者：杨何平 张洪武 王锡榜 杨书雄 王君 陈海蒂 YANG Heping;ZHANG Hongwu;WANG Xibang;YANG Shuxiong;WANG Jun;CHEN Haidi(Department of Oral and Maxillofacial Surgery,Xiangtan Center Hospital,Xiangtan 411100,China)

机构地区：[1]湖南省湘潭市中心医院口腔颌面外科,湖南湘潭411100

出　　处：《口腔医学》2018年第8期704-707,共4页Stomatology

基　　金：湖南省湘潭市科技基金(SF-YB20171006)

摘　　要：目的探究胸锁乳突肌肌瓣与美容切口在腮腺肿瘤术中的手术效果,以及患者满意度的情况。方法选取2015年1月—2017年6月我院收治的74例腮腺肿瘤患者,采用数字表法随机分为观察组和对照组各37例,两组患者均沿耳屏缘内侧向下做美容切口并切除肿瘤,观察组在切除肿瘤后将胸锁乳突肌肌瓣修复术区缺损,对照组不做任何修复处理,对比两组患者的术中出血量、手术时间、住院时间等手术指标,及术后并发症情况,并问卷调查患者的满意度。结果两组患者的术中出血量、手术时间、住院时间对比无显著差异(P>0.05);两组患者术后暂时性面瘫、涎瘘、耳垂麻木发生率对比无显著差异(P>0.05),观察组术区凹陷畸形、Frey综合征发生率显著低于对照组(P<0.05);观察组患者满意度为94.6%(34/37),显著高于对照组的67.6%(25/37),差异具有统计学意义(P<0.05)。结论胸锁乳突肌肌瓣修复腮腺肿瘤术后缺损不会影响手术时间及术中出血量,同时可有效减少术后并发症的发生,提高患者的手术满意度,值得在临床上应用和推广。Objective To investigate the effect of sternocleidomastoid muscle flap and cosmetic incision for resection of parotid tumor and its effect on patient satisfaction. Methods A total of 74 patients with parotid benign tumors were enrolled in this study. The pa- tients were randomly divided into observation group and control group （n = 37 ）. The patients in the two groups were treated along the anteroposterior margin. The incision and resection of the tumor were performed. After the tumor was removed, the sternocleidomastoid muscle flap was repaired in the defect of the operation area. In the control group, no repair was conducted. The intraoperative blood loss, operation time and hospitalization time and other surgical indicators were compared.The postoperative complications of the patients in two groups were compared, and surgical satisfaction of patients of two groups was surveyed by satisfaction questionnaire. Results There was no significant difference in the incidence of intraoperative blood loss, operation time and hospitalization time between the two groups （P〉0.05）. There was no significant difference in the incidence of temporary facial paralysis, salivary fistula and earlobe numb- hess between the two groups （P〉0.05）. The incidence of depression deformity in operation area and Frey syndrome was significantly lower in the observation group than in the control group, the difference was statistically significant （P〈0.05）. The satisfaction rate of the observation group was 94.6% （ 34/37）, which was significantly higher than that of the control group. Conclusions The sternoclei- domastoid muscle flap for resection of parotid gland tumor will not affect the operation time and the amount of intraoperative blood loss, and can reduce the occurrence of postoperative complications and improve patient＇s surgical satisfaction, which is worthy of clinical ap- plication and promotion.

关 键 词：腮腺肿瘤 胸锁乳突肌肌瓣 美容切口 

分 类 号：R739.8[医药卫生—肿瘤]