传统S形切口与耳后切口在腮腺肿瘤切除术中的临床疗效对比  

Comparation on Clinical Efficacy of Traditional S-Shaped Incision and Postauricular Incision in Parotid Tumor Resection

作　　者：陈山 李伟雄 莫海扬 谢平利 陈文和 CHEN Shan;LI Weixiong;MO Haiyang;XIE Pingli;CHEN Wenhe(Department of Cardiothoracic Head and Neck Surgery,Chaozhou People's Hospital,Chaozhou 521000,China)

机构地区：[1]潮州市人民医院心胸头颈外科,广东潮州521000

出　　处：《临床医学工程》2022年第1期63-64,共2页Clinical Medicine & Engineering

摘　　要：目的 比较传统S形切口与耳后切口在腮腺肿瘤切除术中的临床效果。方法 将2017年2月至2020年12月我院收治的60例腮腺肿瘤患者随机分为观察组(n=30)与传统组(n=30)。观察组采取耳后切口进行手术治疗,传统组采取传统S形切口进行手术治疗。比较两组患者的手术时间、术中出血、切口长度,术后白细胞介素-6 (IL-6)、肿瘤坏死因子α(TNF-α)水平及并发症发生率。结果 与传统组相比,观察组切口长度较短,术后IL-6、 TNF-α水平及面部凹陷、涎瘘、感染发生率较低(P<0.05)。结论 与传统S形切口相比,经耳后切口行腮腺肿瘤切除术治疗可缩短切口长度,预防术后感染,降低并发症发生风险,值得临床推广应用。Objective To compare the clinical effect between traditional S-shaped incision and postauricular incision in parotid tumor resection.Methods 60 patients with parotid tumor admitted to our hospital from February 2017 to December 2020 were randomly divided into observation group(n=30)and traditional group(n=30).The observation group used postauricular incision,while the traditional group used traditional S-shaped incision.The operation time,intraoperative blood loss,incision length,the postoperative interleukin-6(IL-6)and tumor necrosis factorα(TNF-α)levels,and the incidence of complications were compared between the two groups.Results Compared with the traditional group,the incision length in the observation group was shorter,and the postoperative IL-6 and TNF-αlevels,and the incidences of facial depression,salivary fistula and infection were lower(P<0.05).Conclusions Compared with the traditional S-shaped incision,postauricular incision in parotid tumor resection can shorten the incision length,prevent the postoperative infection and reduce the risk of complications,which is worthy of clinical promotion and application.

关 键 词：传统S形切口 耳后切口 腮腺肿瘤 临床效果 

分 类 号：R739.87[医药卫生—肿瘤]