改良切口与传统切口治疗腮腺良性肿瘤的疗效比较  

Comparison of Modified Incision and Traditional Incision in the Treatment of Benign Parotid Gland Tumors

作　　者：颜光堂 王中亮 田蓉 Yan Guangtang;Wang Zhongliang;Tian Rong(Department of Otolaryngology,Head and Neck Surgery,Chengdu Integrated Traditional Chinese and Western Medicine Hospital,Chengdu 610000,China)

机构地区：[1]成都市中西医结合医院耳鼻咽喉头颈外科,成都610000

出　　处：《成都医学院学报》2024年第3期437-441,共5页Journal of Chengdu Medical College

基　　金：四川省卫生和计划生育委员会科研课题(No:18PJ079)。

摘　　要：目的 基于多准则决策模型探讨改良切口与传统切口治疗腮腺良性肿瘤的疗效。方法 回顾性选择2019年4月至2022年4月于成都市中西医结合医院采用手术治疗的98例腮腺良性肿瘤患者为研究对象,将采用倒“V”型切口治疗的患者作为改良组,采用“S”形切口治疗的患者作为传统组,两组各49例。比较两组年龄、性别、病理结果、病变部位、手术时间、手术出血量等一般资料;比较两组视觉模拟评分法(VAS)评分、焦虑自评量表(SAS)评分、术后面瘫分级、术后3个月的疗效;比较两组面瘫、涎瘘等术后并发症发生情况。建立改良术式治疗腮腺良性肿瘤的多准则决策模型,并对两组效益值、风险值及决策模型的稳定性进行评价。结果 改良组患者的手术切口长度、术后皮肤表面瘢痕长度、VAS评分及SAS评分与传统组比较,差异均有统计学意义(P<0.05);改良组与传统组的平均效益值分别为83、55,改良组的效益值100%优于传统组;改良组与传统组的平均风险值分别为75、57,改良组的风险值100%低于传统组;改良组与传统组的平均效益-风险总值分别为79、56,改良组的总效益-风险值高于传统组的概率为100%;多准则决策评价模型稳定性较好。结论 倒“V”型切口能明显改善腮腺良性肿瘤患者术后面颈部的美观度,提高患者的生活质量及幸福指数。Objective To explore the efficacy of modified incision and traditional incision in the treatment of benign parotid gland tumors based on multi-criteria decision-making model.Methods A total of 98 patients with benign parotid gland tumors treated by surgery in Chengdu Integrated Traditional Chinese and Western Medicine Hospital from April 2019 to April 2022 were retrospectively selected as the study objects.The patients treated with inverted"V"incision were included in the modified group(n=49),while the patients treated with"S"incision were taken as the traditional group(n=49).The general data of age,sex,pathological results,lesion location,duration of operation and intraoperative blood loss were compared between the two groups.The scores of aesthetic Visual Analogue Scale(VAS),Self-rating Anxiety Scale(SAS),postoperative facial paralysis grade and the curative effect at 3 months after operation were compared between the two groups.The incidence of postoperative complications such as facial paralysis and salivary fistula were compared between the two groups.A multi-criteria decision-making model for the treatment of benign parotid gland tumors by modified incision was established.The benefit value,risk value of both groups and the stability of the decision-making model were evaluated.Results There were significant differences in the incision length,postoperative scar length,VAS score and SAS score between the two groups(P<0.05).The average benefit value of the modified group and the traditional group were 83 and 55,respectively,and the benefit value of the modified group was 100%better than that of the traditional group.The average risk value of the modified group and the traditional group were 75 and 57,respectively,and the risk value of the modified group was 100%lower than that of the traditional group.The average benefit-risk total value of the modified group and the traditional group were 79 and 56,respectively,and the probability that the benefit-risk total value of the modified group was higher than that of

关 键 词：倒“V”型切口 腮腺良性肿瘤 疗效 多准则决策模型 

分 类 号：R739.87[医药卫生—肿瘤]