经耳后发际线入路腔镜手术治疗腮腺肿瘤的效果观察  

Observation on the effect of endoscopic surgery for parotid gland tumors via the postauricular hairline approach

作　　者：郑兰芳 赵佳正[3] 王丽芬[2] 孔慧[2] ZHENG Lanfang;ZHAO Jiazheng;WANG Lifen;KONG Hui(School of Nursing,Zhejiang Chinese Medical University,Hangzhou 310053,Zhejiang,China;Operating Room,Zhejiang Cancer Hospital,Hangzhou 310022,Zhejiang,China;Department of Head and Neck Surgery,Zhejiang Cancer Hospital,Hangzhou 310022,Zhejiang,China)

机构地区：[1]浙江中医药大学护理学院,浙江杭州310053 [2]浙江省肿瘤医院手术室,浙江杭州310022 [3]浙江省肿瘤医院头颈外科,浙江杭州310022

出　　处：《中国现代医生》2025年第2期65-68,共4页China Modern Doctor

摘　　要：目的对比经耳后发际线入路腔镜手术与传统开放手术治疗腮腺肿瘤的效果及护理满意度。方法选取2023年3月至2024年3月浙江省肿瘤医院收治的60例腮腺肿瘤患者作为研究对象。30例患者有小瘢痕美容手术的要求,接受耳后发际线入路腔镜腮腺肿瘤切除术为腔镜组,剩余30例同期接受传统开放手术为开放组。对比两组患者的手术时间、术中出血量、术后引流量、术后住院时间、术后并发症,护理满意度及术后1个月切口满意度的差异。结果腔镜组患者的术后引流量、住院时间、术后并发症均少于开放组,两组比较差异有统计学意义(P<0.05)。腔镜组患者的护理满意度及切口满意度大于开放组(P<0.05)。结论经耳后发际线入路腔镜手术术后恢复快,住院时间短,术后并发症少,围手术期优化护理可有效提升患者满意度,值得临床推广。Objective To compare the efficacy of endoscopic parotidectomy through postauricular incision with conventional incision parotidectomy.Methods A total of 60 parotid tumor patients admitted to Zhejiang Cancer Hospital from March 2023 to March 2024 were selected as the study subjects.Thirty patients had the requirement for small scar cosmetic surgery,and the endoscopic parotid tumor resection of the posterior ear were in endoscopic group,and remaining 30 patients underwent traditional open surgery at the same period in open group.Two groups were compared in terms of operation time,intraoperative blood loss,postoperative drainage volume,length of hospital stay,postoperative complications,nursing satisfaction,and incision satisfaction at one month postoperatively.Results Endoscopic group had significantly lower drainage volume,hospital stay,and postoperative complications than open group,there were significant difference between two groups(P<0.05).The nursing satisfaction and incision satisfaction in endoscopic group were significantly higher than those in open group(P<0.05).Conclusion Efficacy of endoscopic parotidectomy through postauricular incision postoperative recovery was faster,the hospitalization time was shorter,and the postoperative complications were less.Perioperative optimization nursing in the endoscopic group improved patient satisfaction,which is worth promoting clinically.

关 键 词：腔镜手术 耳后发际入路 腮腺肿瘤 

分 类 号：R473.6[医药卫生—护理学]