腮腺手术中面神经的解剖与保留  

Anatomy and preservation of facial nerve in parotid gland surgery

作　　者：荣誉[1] 刘宏升[2] 杨东昆[3] 滑起伟 宗开洋 Rong Yu;Liu Hongsheng(Corresponding author);Yang Dongkun;Hua Qiwei;Zong Kaiyang(Department of Oral Medicine of Bengbu Medical College 233000;Experimental and Training Center of the Department of Oral Medicine,Bengbu Medical College 233000;Department of Stomatology,the First Affiliated Hospital of Bengbu Medical College 233000)

机构地区：[1]蚌埠医学院口腔医学系,233000 [2]蚌埠医学院口腔系实验实训中心,233000 [3]蚌埠医学院第一附属医院口腔科,233000

出　　处：《中国社区医师》2016年第26期9-10,共2页Chinese Community Doctors

基　　金：安徽省2015年大学生(蚌埠医学院)创新创业项目(201510367029);2014年度安徽省重点实验室和工程中心(蚌埠医学院)开放课题(BYKL1404)~~

摘　　要：目的:探讨腮腺手术中对面神经的处理方法。方法:收治腮腺肿瘤手术患者10例和20个人体头颅标本,通过对病例资料和头颅标本的研究,观察腮腺手术中对面神经的处理方法。结果:经过对10例病例的观察研究,发现术中面神经损伤率20.0%,术后面神经损伤率60.0%。结论:在为腮腺肿瘤患者进行手术时,如恶性肿瘤已经侵犯面神经或高度可疑侵犯时,应采取面神经切断,如为良性肿瘤且未发生恶变时,术中注意仔细分离每一支面神经,避免损害。Objective:To investigate the methods for treating facial nerve during parotid gland surgery.Methods:10 patients with parotid tumor surgery and 20 human head specimens were selected.Through the study of the case data and the skull specimen,the treatment method of facial nerve in parotid gland surgery was observed.Results:Through the observation of 10 cases,it was found that the rate of facial nerve injury was 20%,and postoperative nerve injury rate was 60%.Conclusion:In patients with parotid tumor surgery,such as malignant tumor has violated the facial nerve or highly suspicious violations,we should take the method of facial nerve cutting.As for the benign tumor and malignant transformation did not occur,we should carefully separate each branch of the facial nerve during operation,avoid damage.

关 键 词：腮腺手术 面神经 解剖 

分 类 号：R739.8[医药卫生—肿瘤] R322.8[医药卫生—临床医学]