全腔镜下经锁骨下径路颌下腺腺叶切除

发布时间：2017-12-31 02:43

  本文关键词：全腔镜下经锁骨下径路颌下腺腺叶切除　出处：《临床耳鼻咽喉头颈外科杂志》2016年06期 　论文类型：期刊论文

  更多相关文章： 腔镜微创 颌下腺疾病

【摘要】：目的:探讨全腔镜下经锁骨下径路颌下腺腺叶切除术的可行性及其疗效。方法:回顾性分析28例腔镜下经锁骨下径路颌下腺切除术患者的临床资料,其中多形性腺瘤14例,颌下腺慢性炎症10例,颌下腺结石3例,淋巴上皮囊肿1例,所有病例术前经影像学、三维超声学评估。结果:所有患者均于全腔镜下完全切除颌下腺和肿瘤,无一例中转开放手术,无明显手术并发症,术后美观效果好,患者满意度高,多形性腺瘤患者术后随访时间4~24个月,未见复发。结论:全腔镜下经锁骨下径路颌下腺切除术是安全可行的,且具有良好的美容效果。
[Abstract]:Objective: to investigate the feasibility and curative effect of subclavian subclavian approach for submandibular gland lobectomy. Methods: the clinical data of 28 patients undergoing endoscopic subclavian subclavian submandibular adenectomy were retrospectively analyzed. 14 cases of pleomorphic adenoma, 10 cases of chronic inflammation of submandibular gland, 3 cases of submandibular gland stone and 1 case of lymphoepithelial cyst. Results: all the patients underwent complete resection of submandibular gland and tumor under full laparoscopy, no cases were converted to open surgery, there were no obvious surgical complications, good postoperative aesthetic effect and high patient satisfaction. The follow-up time of the patients with pleomorphic adenoma was 4 ~ 24 months, and no recurrence was found. Conclusion: subclavian subclavian submandibular adenectomy is safe and feasible, and has good cosmetic effect.
【作者单位】： 娄底市中心医院耳鼻咽喉头颈外科;中南大学湘雅医院耳鼻咽喉头颈外科;
【基金】：湖南省卫生计生委2015年度科研计划项目(No:B2015-183)
【分类号】：R739.8
【正文快照】： 腔镜已在腹腔、乳腺、甲状腺等外科手术中广泛应用,因其术野清晰,术中出血少,腹部、胸部、颈部无明显疤痕受到广泛的追捧。传统颌下腺手术颈部有明显疤痕,给患者带来困扰,2002年Mon-fared等〔1〕在猪模型上成功施行全腔镜下颌下腺切除术,认为该术式切实可行。不过此后国内外尚，

本文编号：1357754