耳后切口内镜辅助下腮腺良性肿瘤切除术的效果观察  

Effect of endoscopic-assisted resection of parotid benign tumor through an incision behind the ear

作　　者：郝卫星[1] 卢丽萍 于璐璐 Hao Weixing;Lu Liping;Yu Lulu(Department of Head and Neck Surgery,Jiyuan Tumor Hospital,Jiyuan 459000,China)

机构地区：[1]河南省济源市肿瘤医院头颈外科,459000

出　　处：《中国实用医刊》2021年第10期50-52,共3页Chinese Journal of Practical Medicine

摘　　要：目的:探讨耳后切口内镜辅助下腮腺良性肿瘤切除术应用于腮腺良性肿瘤的临床效果。方法:抽取济源市肿瘤医院2017年2月至2020年2月收治的168例腮腺良性肿瘤患者作为研究对象,按随机数字表法分为研究组与对照组,每组84例。研究组行耳后切口内镜辅助下腮腺良性肿瘤切除术,对照组行常规腮腺良性肿瘤切除术,比较两组手术情况、术后不良反应发生情况。结果:两组腮腺良性肿瘤患者均顺利完成相应手术方案,研究组手术中操作时间、出血量(术中)、手术切口长度、术后负压引流量、住院时间(术后)少于对照组,差异有统计学意义(P<0.05);研究组腮腺良性肿瘤患者术后局部凹陷畸形、涎瘘、暂时性面瘫、术区麻木等不良反应的发生率为4.76%,对照组为19.05%,差异有统计学意义(P<0.05)。结论:应用耳后切口内镜辅助下腮腺良性肿瘤切除术有利于改善患者手术情况相关指标,降低术后不良反应发生率。Objective To investigate the clinical effect of endoscopic-assisted resection of benign parotid tumors in patients with benign parotid tumors through a posterior ear incision.Methods A total of 168 patients with benign parotid tumor admitted to Jiyuan Cancer Hospital from February 2017 to February 2020 were selected as the research objects,they were randomly divided into study group and control group,with 84 cases in each group.The study group underwent endoscopic-assisted resection of benign parotid tumors through a posterior auricular incision,and the control group underwent conventional parotid benign tumor resection.The operation situation and postoperative adverse reactions were compared between the two groups.Results Both groups of patients with parotid benign tumors successfully completed the corresponding surgical plan.The operation time,blood loss(intraoperative),surgical incision length,postoperative negative pressure drainage,and hospital stay(postoperative)in the study group were less than those of the control group(P<0.05);the incidence of postoperative adverse reactions such as local concave filling deformity,salivation,temporary facial paralysis,surgical area numbness in patients with benign parotid tumors in the study group was 4.76%,that in the control group was 19.05%,the difference was statistically significant(P<0.05).Conclusions The use of retro-auricular incision endoscopy-assisted resection of benign parotid tumors is beneficial to improve the relevant indicators of patients’surgical condition and reducing the incidence of postoperative adverse reactions.

关 键 词：腮腺 良性肿瘤 内镜 切除术 

分 类 号：R739.8[医药卫生—肿瘤]