内镜辅助腮腺浅叶良性肿瘤切除效果初探  

Preliminary study on endoscope-assisted resection of superficial benign tumor of parotid gland

作　　者：石亮[1] 宋晓彬[1] 王克涛[1] 王勇[1] Shi Liang;Song Xiaobin;Wang Ketao;Wang Yong(Department of Oral and Maxillofacial Surgery,Qilu Hospital of Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医院口腔颌面外科,济南250012

出　　处：《中华口腔医学杂志》2019年第12期847-850,共4页Chinese Journal of Stomatology

摘　　要：目的总结内镜辅助腮腺浅叶良性肿瘤切除手术的初步经验,探讨内镜手术在口腔颌面部应用的适应证及优缺点.方法回顾性分析2018年3月至2019年3月山东大学齐鲁医院口腔颌面外科应用内镜技术完成的18例腮腺浅叶良性肿瘤包膜外切除手术患者的临床资料,介绍其手术方式.对适应证、肿瘤的长轴长度、切口设计、手术时间、术中出血量、术后引流量及引流时间、美观满意度、术后并发症及随访情况进行记录整理和分析.结果所有手术过程均按预期完成.肿物长轴长度为(2.3±0.6)cm,内镜辅助耳屏内绕耳垂切口短小隐蔽,切口长度(5.1±1.3)cm,手术时长(2.0±0.4)h,术中出血量(168.9±18.8)ml、术后引流量(29.5±11.7)ml、术后引流天数为(3.6±0.5)d,暂时性面瘫及耳垂麻木各2例,术后3个月患者对切口设计及美观效果视觉模拟量表评分为(9.6±0.1)分,患者均表示非常满意.结论内镜辅助耳屏内绕耳垂切口行腮腺浅叶良性肿瘤切除术可减少并发症,缩小手术切口并获得满意的美观效果.Objective To summarize the preliminary experience of endoscope-assisted resection of superficial parotid gland benign tumors,and to discuss the indications,advantages and disadvantages of the operation.Methods The clinical data of 18 patients who underwent extracapsular resection of superficial parotid gland benign tumor in Department of Oral and Maxillofacial Surgery,Qilu Hospital of Shandong University from March 2018 to March 2019 were retrospectively analyzed,and the surgical methods were introduced.The indications,long axis length of tumor,incision design,operation time,intraoperative blood loss,postoperative drainage and drainage time,aesthetic satisfaction,postoperative complications and follow-up time were counted.Results All procedures were completed as expected.The length of the long axis of the tumor was(2.3±0.6)cm,the incision in the tragus around the earlobe was short and concealed,the incision length was(5.1±1.3)cm,the operation duration was(2.0±0.4)h,intraoperative blood loss was(168.9±18.8)ml,postoperative drainage was(29.5±11.7)ml,drainage time was(3.6±0.5)d,2 cases of temporary facial paralysis or earlobe numbness,three months after the operation,the results of the visual analogue scale of the incision design and the aesthetic effect were(9.6±0.1).Conclusions Endoscope-assisted resection of superficial parotid gland benign tumor by inner tragus around earlobe approach is applicable and reliable,can reduce complications,shorten surgical incision to obtain satisfactory aesthetic effect,which is worth further expansion and improvement.

关 键 词：腮腺肿瘤 内窥镜检查 包膜外切除术 

分 类 号：R73[医药卫生—肿瘤]