改良美容切口及皮肤粘合剂在腮腺良性肿瘤功能性外科中的应用  

The application of modified cosmetic incision and skin adhesive in parotid benign tumor functional surgery

作　　者：姜庆坤 曹钟义[1] 危由春[1] 张强[1] 严俊峰[1] 章杰[1] JIANG Qingkun;CAO Zhongyi;WEI Youchun;ZHANG Qiang;YAN Junfeng;ZHANG Jie(Department of Oral and Maxillofacial Surgery,the First Affiliated Hospital of Nanchang University,Nanchang,330006,China)

机构地区：[1]南昌大学第一附属医院口腔颌面外科,南昌330006

出　　处：《临床耳鼻咽喉头颈外科杂志》2018年第16期1255-1259,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金(No:81460295;No:81660322);江西省杰出青年人才资助计划(No:20171BCB23090)

摘　　要：目的:探讨改良美容切口及氰基丙烯酸辛基酯皮肤粘合剂(Dermabond)在腮腺良性肿瘤功能性外科中的临床应用价值及相关技术。方法:将42例腮腺良性肿瘤患者随机分为A、B两组,A组应用改良美容切口作为入路,术后采用6-0可吸收薇乔缝线真皮内缝合外用Dermabond粘合进行切口关闭;B组采用传统S形切口,术后采用4-0普里灵(Prolene)缝线进行皮肤单层连续缝合。比较两组的手术时间、术后引流量、面神经功能、涎瘘、Frey综合征、术区麻木程度、瘢痕和美观满意度等指标。采用SPSS20.0软件包对数据进行统计学分析。结果:手术时间、面神经功能、Frey综合征、涎瘘、面部畸形、耳垂麻木、永久性面瘫及肿瘤复发在两组间的差异无统计学意义(P>0.05);而术后引流量、术区麻木程度、面部美观满意度及术后瘢痕,A、B两组差异有统计学意义(P<0.05)。结论:应用改良美容切口及Dermabond安全可行,并发症低于传统术式,瘢痕微小且隐蔽,患者满意度高,达到了微创治疗的效果。Objective：To investigate the clinical application value and related technology of modified cosmetic incision and cyanoacrylate octyl ester skin adhesive（Dermabond）in functional surgery of parotid benign tumor.Method：Forty-two cases of clinical cases were collected and randomly divided into groups of A and B.Group A used the approach of modified cosmetic incision,intradermal suture with 6-0 absorbable Vicryl stitches and gluing the skin with Dermabond.Group B used the approach of traditional S shaped incision and continuous suture of skin with 4-0 Prolene stitches.The operative time,postoperative drainage volume,facial nerve function,salivary leakage,Frey syndrome,postoperative numbness,scar and aesthetic satisfaction were compared between the two groups.Result：The operation time,facial nerve function,Frey syndrome,salivary fistula,facial deformity and tumor recurrence in the two groups had no significant difference（P0.05）;but for postoperative drainage,postoperative numbness,facial appearance satisfaction,scar assessment,Group A was lower than Group B and there was statistical significance difference（P0.05）.Conclusion：The application of modified cosmetic incision and Dermond is safe and feasible.Its complication is lower than the traditional operation.The scar is smaller and more hidden,and the patient＇s satisfaction is higher.It doesn＇t affect the daily social interaction of patients,and achieves the effect of minimally invasive treatment.

关 键 词：腮腺肿瘤 改良美容切口 皮肤粘合剂 外科手术 

分 类 号：R739.8[医药卫生—肿瘤]