改良腮腺切除术和传统腮腺切除术治疗腮腺肿瘤的疗效对比及对面神经功能的影响  

Comparison of curative effects of modified parotidectomy and traditional parotidectomy in treatment of parotid tumors and their effects on facial nerve function

作　　者：严景辉[1] 王豪[1] 韦文[1] YAN Jinghui;WANG Hao;WEI Wen(Department of Otolaryngology Head and Neck Surgery, the Third People’s Hospital of Huizhou City, Huizhou 516000,China)

机构地区：[1]广东省惠州市第三人民医院耳鼻咽喉头颈外科

出　　处：《中国医药科学》2019年第16期205-207,248,共4页China Medicine And Pharmacy

摘　　要：目的探讨改良腮腺切除术和传统腮腺切除术治疗腮腺肿瘤的临床效果对比及对面神经功能的影响。方法选取我院于2016年1月~2018年8月收治的90例腮腺肿瘤患者为研究对象,按照随机数字表法分为两组,对照组45例予以传统腮腺切除术治疗,研究组45例予以改良腮腺切除术治疗。比较两组患者术中出血量、手术时间、术后当日引流量、术后住院时间、平均动脉压、收缩压、心率、术后并发症发生情况以及面神经损伤情况。结果两组患者术中出血量、手术时间、术后当日引流量、平均动脉压、收缩压、心率比较无统计学意义(P> 0.05),研究组术后住院时间显著短于对照组(P <0.05)。研究组术后并发症发生率(6.66%)显著低于对照组(48.89%),P <0.05。研究组面神经总损伤率(11.11%)显著低于对照组(35.55%),P <0.05。结论改良腮腺切除术治疗腮腺肿瘤相较于传统腮腺切除术而言,患者术后恢复快,并发症及面神经损伤发生率低,疗效显著。Objective To explore the clinical curative effects of modified parotidectomy and traditional parotidectomy in treatment of parotid tumors and their effects on facial nerve function. Methods Ninety patients with parotid tumors who were admitted and treated in our hospital from January 2016 to August 2018 were selected as research objects. According to the random number table method, they were divided into two groups. 45 patients in the control group were treated with traditional parotidectomy while 45 patients in the study group were treated with modified parotidectomy. The intraoperative blood loss, operative time, the drainage volume at the first postoperative day, postoperative hospital stays, mean arterial pressure, systolic blood pressure, heart rate, postoperative complications and facial nerve injury were compared between the two groups. Results There was no statistically significant difference in intraoperative blood loss, operative time, the drainage volume at the first postoperative day, mean arterial pressure, systolic blood pressure and heart rate between the two groups(P > 0.05). The postoperative hospital stay was significantly shorter in the study group than in the control group(P < 0.05). The incidence of postoperative complications(6.66%) in the study group was significantly lower than that in the control group(48.89%), P < 0.05. The total facial nerve injury rate(11.11%) in the study group was significantly lower than that in the control group(35.55%), P < 0.05. Conclusion Compared with traditional parotidectomy, modified parotidectomy in treatment of parotid tumors has a faster postoperative recovery, a lower incidence of complications and facial nerve damage. The curative effects are significant.

关 键 词：腮腺肿瘤 改良腮腺切除术 传统腮腺切除术 面神经 

分 类 号：R739.87[医药卫生—肿瘤]