腮腺浅叶良性肿瘤采用不同手术方式治疗的临床效果  

Clinical effect of different surgical methods in the treatment of benign tumors of the parotid gland

作　　者：张妙玲 何国钦[1] 梁武兴 ZHANG Miaoling;HE Guoqin;LIANG Wuxing(Department of Stomatology,Maoming People's Hospital,Guangdong,Maoming 525400,China)

机构地区：[1]广东省茂名市人民医院口腔科,广东茂名525400

出　　处：《中国医药科学》2020年第2期216-218,共3页China Medicine And Pharmacy

摘　　要：目的探讨对腮腺浅叶良性肿瘤患者分别选择区域性切除术和腺体浅叶切除术治疗的临床效果比较。方法选择我院2015年8月~2018年3月收治的62例腮腺浅叶良性肿瘤患者作为实验对象,通过随机数字表法分为对照组31例和实验组31例。对照组采用腺体浅叶切除术治疗,实验组采用区域性切除术治疗。对比分析两组患者的手术情况、术后并发症总占比、疾病复发总占比以及神经损伤程度。结果实验组腮腺浅叶良性肿瘤患者术中失血量以及解剖面部神经支数少于对照组,手术时长以及切口长度比对照组短,差异有统计学意义(P<0.05);实验组腮腺浅叶良性肿瘤患者术后并发症总占比(12.90%)低于对照组(58.06%),实验组神经损伤总体表现优于对照组,差异有统计学意义(P<0.05);疾病复发总占比0与对照组(3.23%)比较,差异无统计学意义(P>0.05)。结论区域性切除术治疗腮腺浅叶良性肿瘤患者,可减少患者术中失血量,缩短手术时间,减轻患者痛苦,且术后并发症少,有利于腮腺浅叶良性肿瘤患者的疾病转归。Objective To investigate the clinical effects of regional resection and superficial parotidectomy for patients with benign tumors of the parotid gland.Methods 62 patients with benign tumors of parotid gland superficial lobe admitted to our hospital from August 2015 to March 2018 were selected as subjects of this study.The patients were randomly divided into control group(n=31 cases)and experimental group(n=31 cases).The control group was treated with superficial parotidectomy and the experimental group was treated with regional resection.The surgical conditions,total proportion of postoperative complications,total proportion of disease recurrence and degree of nerve damage were compared and analyzed between the two groups.Results In the experimental group,the intraoperative bleeding volume and number of facial nerve branches dissected of patients with benign tumors of parotid gland superficial lobe were less than those in the control group,the operation time was shorter than that of the control group,and the length of incision was also shorter than that of the control group(P<0.05).The proportion of postoperative complications of patients with benign tumors of parotid gland superficial lobe in the experimental group(12.90%)was lower than that in the control group(58.06%).The overall performance of nerve damage in the experimental group was better than in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in total proportion of disease recurrence between the experimental group(0.00%)and the control group(3.23%)(P>0.05).Conclusion Regional resection for the treatment of patients with benign tumors of parotid gland superficial lobe can reduce intraoperative bleeding volume,shorten operation time,alleviate pain of patients,and has fewer postoperative complications,which is conducive to disease outcome of patients with benign tumors of parotid gland superficial lobe.

关 键 词：区域性切除术 腺体浅叶切除术 腮腺浅叶良性肿瘤 术后并发症 

分 类 号：R739.8[医药卫生—肿瘤]