下颌下腺良性肿瘤功能性手术的研究进展  

Research progress on the functional surgery of benign submandibular gland tumors

作　　者：沈洁[1] 何地[1] 刘雁鸣[1] Shen Jie;He Di;Liu Yanming(Dept.of Oral and Maxillofacial Surgery,The Second Affiliated Hospital,Zhejiang University School of Medicine,Hangzhou 310009,China)

机构地区：[1]浙江大学医学院附属第二医院口腔颌面外科,杭州310009

出　　处：《国际口腔医学杂志》2021年第2期230-237,共8页International Journal of Stomatology

摘　　要：下颌下腺切除术是治疗下颌下腺良性肿瘤最常用的治疗方法,但术后皮肤瘢痕、潜在的面神经下颌缘支损伤和舌神经损伤,以及腺体摘除可能导致的口干等并发症将会不同程度地影响患者的生活质量。为此,下颌下腺功能性手术日益被采用和改进,以期提高术后生活质量。本文围绕下颌下腺手术的美观切口设计,内镜和机器人辅助手术技术的应用,以及下颌下腺区重要组织的功能保护等3个方面对下颌下腺良性肿瘤的功能性手术的进展进行综述,以期为临床治疗方案选择提供参考。Submandibular gland resection is the most widely accepted treatment for benign submandibular gland tumors.However,postoperative complications such as external scar formation in a highly visible area,increasing incidence of damage to facial and lingual nerves,and xerostomia seriously affect patients'quality of life.As such,the functional surgery of the submandibular gland has been widely used.This review summarized the research progress on functional surgery as a treatment for benign submandibular gland tumors in terms of three aspects to provide a reference for the clinical treatment of benign submandibular gland neoplasms:1)modified surgical approaches to improve cosmetic results and decrease complications,2)endoscopic techniques and surgical robot systems in submandibular gland surgery,and 3)operating techniques to preserve the function of important tissues in the submandibular gland region.

关 键 词：下颌下腺良性肿瘤 下颌下腺疾病 功能性手术 下颌下腺部分切除术 机器人外科手术 内镜 

分 类 号：R739.87[医药卫生—肿瘤]