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作 者:黄强 关华[1] 雷小梅 HUANG Qiang;GUAN Hua;LEI Xiaomei(Department of Stomatology,Sanming First Hospital,Sanming,Fujian Province,365000 China)
出 处:《中外医疗》2023年第7期34-37,42,共5页China & Foreign Medical Treatment
摘 要:目的 探讨腮腺部分切除术治疗腮腺浅叶良性肿瘤的效果及对涎瘘发生率的影响。方法 方便选取2017年1月—2021年12月在三明市第一医院就诊的195例腮腺浅叶良性肿瘤患者,随机数表法分为观察组(98例)和对照组(97例),对照组接受腮腺浅叶全切除术治疗,观察组接受腮腺部分切除术治疗,比较两组患者围术期指标、并发症、复发率、治疗满意度等。结果 观察组手术时间、术后首次下床活动时间、住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为15.31%,低于对照组的40.21%,差异有统计学意义(χ^(2)=15.094,P<0.05);观察组复发率低于对照组但差异无统计学意义(P>0.05),观察组总满意度高于对照组,差异有统计学意义(P<0.05)。结论 临床治疗腮腺浅叶良性肿瘤采用腮腺部分切除术,相比于腮腺浅叶全切除术,对患者术后恢复有促进作用,并可更好地控制术后并发症,降低复发率,有较高推广意义。Objective To investigate the effect of partial parotidectomy in the treatment of benign tumors in the superficial lobe of the parotid gland and its effect on the incidence of salivary fistula.Methods A total of 195 patients with superficial parotid benign tumor treated in the First Hospital of Sanming City from January 2017 to December 2021 were conveniently selected and randomly divided into observation group(98 cases)and control group(97 cases)by number table method.The control group received total superficial parotid resection,while the observation group received partial parotid resection.Perioperative indexes,complications,recurrence rate and treatment satisfaction were compared between the two groups.Results The operation time,the first time of getting out of bed after surgery and the length of hospital stay in the observation group were shorter than those in the control group,and the intraoperative blood less was lower than that in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group 15.31%was lower than that in the control group(40.21%),and the difference was statistically significant(χ^(2)=15.094,P<0.05).The recurrence rate of the observation group was lower than that of the control group,but the difference was not statistically significant(P>0.05).The total satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Con⁃clusion Compared with total superficial parotidectomy,partial parotidectomy can promote the postoperative recovery of patients with benign superficial parotid tumors,which can better control postoperative complications and reduce the recurrence rate,which has high promotional significance.
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