腮腺良性肿物小切口在功能性外科手术切除的临床应用  

Clinical application of small incision of benign parotid tumor in resection of functional surgical operation

作　　者：黄坚槐 傅隆生[1] 刘聪[1] 肖秋月 张杨阳[1] HUANG Jianhuai;FU Longsheng;LIU Cong;XIAO Qiuyue;ZHANG Yangyang(Department of Stomatology,Yingde People's Hospital,Guangdong Province,Yingde 513000,China)

机构地区：[1]广东省英德市人民医院口腔科,广东英德513000

出　　处：《中国医药科学》2018年第22期193-196,共4页China Medicine And Pharmacy

基　　金：广东省清远市社会发展领域经费科技计划项目(2017099)

摘　　要：目的对腮腺良性肿瘤应用小切口切除术治疗的效果进行探讨。方法选取我院2014年1月～2018年1月期间收治的60例腮腺良性肿瘤患者,随机分为观察组与对照组,各30例,对照组给予传统切除术治疗,观察组应用小切口微创切除术治疗,对两组手术相关指标、术后并发症等进行对比。结果在手术时间、手术切口长度、术后引流量、住院时间等方面对比,观察组分别为(82.7±9.1)min、(3.0±0.4)cm、(11.2±2.8)mL、(5.1±1.3)d,对照组分别为(113.6±12.8)min、(9.6±2.3)cm、(35.6±4.7)mL、(10.2±1.7)d,观察组均低于对照组,差异有统计学意义(t分别为5.834、4.816、4.622、3.728,P <0.05);术后并发症方面,观察组口干、Frey综合征、凹陷畸形、术区麻木、暂时性面瘫及涎瘘发生率分别为3.33%、3.33%、3.33%、6.67%、6.67%、0,对照组分别为20.00%、16.67%、16.67%、30.00%、20.00%、6.67%,观察组各项均明显低于对照组,差异有统计学意义(χ~2分别为8.224、7.013、7.211、11.982、7.006、3.991,P <0.05)。结论小切口微创技术在腮腺良性肿瘤切除术中应用,具有切口小、创伤小、瘢痕隐蔽、并发症少等优势,手术安全可靠,美容效果好,在临床中值得推广应用。Objective To explore the effect of small incision resection in treatment of benign parotid tumor.Methods Sixty patients with benign parotid tumors who were admitted and treated in our hospital from January 2014 to January 2018 were selected and they were randomly divided into observation group and control group,with 30 cases in each group.The control group was given traditional resection while the observation group was given small-incision minimally invasive excision.Surgical related indicators and postoperative complications of two groups were compared.Results Operation time,length of surgical incision,postoperative drainage flow and hospitalization stay in the observation group were respectively(82.7±9.1)min,(3.0±0.4)cm,(11.2±2.8)mL and(5.1±1.3)d.Those of the control group were respectively(113.6±12.8)min,(9.6±2.3)cm,(35.6±4.7)mL,(10.2±1.7)d.Operation time,length of surgical incision,postoperative drainage flow and hospitalization stay of the observation group were lower than those in the control group and the differences were statistically significant(t=5.834,4.816,4.622,3.728 respectively,P<0.05).In terms of postoperative complications,dry mouth,Frey's syndrome,depressed deformity,numbness in the operation area,temporary facial paralysis and salivary fistula were respectively 3.33%,3.33%,3.33%,6.67%,6.67%and 0.Those of the control group were 20.00%,16.67%,16.67%,30.00%,20.00%,and 6.67%,respectively.Dry mouth,Frey's syndrome,depressed deformity,numbness in the operation area,temporary facial paralysis and salivary fistula in the observation group were all significantly lower than those in the control group,and the difference was statistically significant(χ^2=8.224,7.013,7.211,11.982,7.006,3.991,P<0.05).Conclusion Application of small-incision minimally invasive excision in resection of benign parotid tumor has the advantages of small incision,small trauma,scar concealment and fewer complications.The operation is safe and reliable,and the cosmetic effect is good.It is worthy of popularization and appli

关 键 词：腮腺肿物 功能性外科手术 微创技术 效果 

分 类 号：R739.8[医药卫生—肿瘤]