腮腺浅叶部分切除术与腮腺浅叶切除术术后腮腺吸收和分泌功能的比较

发布时间：2018-01-12 17:15

本文关键词：腮腺浅叶部分切除术与腮腺浅叶切除术术后腮腺吸收和分泌功能的比较　出处：《广西医科大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的：比较腮腺浅叶部分切除术与腮腺浅叶切除术对术后腮腺吸收和分泌功能的影响。方法：前瞻性研究2012年12月至2013年12月四川省肿瘤医院术后诊断为多形性腺瘤患者,根据患者肿瘤的大小情况,将病人分为腮腺浅叶部分切除术组(n=33)和腮腺浅叶切除术组(n=18),采用唾液腺显像的方法,以正常侧作为对照,研究两组患者的术前患侧腮腺的吸收率和分泌指数,术后随访1年(随访分术后3月,6月,12月,共3次),连续性比较患侧腮腺的吸收率和分泌指数。结果：共有51例患者进入该临床实验,随访1年内,两组患者均无复发或需要二次手术病例。经过术前唾液腺显像,51例患者,以正常侧腮腺作为对照,患侧腮腺的吸收率高于正常侧(t=3.675;P=0.011),差异有统计学意义；但患侧腮腺与正常侧腮腺的分泌指数无统计学差异(t=1.968;P=0.052)；且经过手术后,所有患者患侧腮腺的吸收率和分泌指数均低于正常侧,差异有统计学意义(P0.05)；腮腺浅叶部分切除术组术后3月后的吸收率和术后6月后的分泌指数均高于腮腺浅叶切除术组,差异有统计学意义(P0.05)。结论：腮腺浅叶部分切除术在保留患者腮腺吸收与分泌功能方面优于腮腺浅叶切除术。
[Abstract]:Objective: to compare the effects of partial parotidectomy and superficial parotid lobectomy on the absorption and secretion of parotid gland after operation. A prospective study from December 2012 to December 2013 in Sichuan Provincial Cancer Hospital diagnosed as pleomorphic adenoma. According to the tumor size of the patients, the patients were divided into two groups: the superficial parotid lobectomy group and the parotid gland superficial lobectomy group. The salivary gland imaging was performed and the normal side was used as the control. The absorptivity and secretion index of the affected parotid gland in both groups were studied. The patients were followed up for one year (three times: March, June, December). Results: a total of 51 patients were enrolled in the clinical trial and followed up for one year. There were no recurrence or secondary operation cases in both groups. After preoperative salivary gland imaging, the absorptivity of the affected parotid gland was 3.675 higher than that of the normal parotid gland. The difference was statistically significant. However, there was no significant difference in secretory index between the affected parotid gland and the normal parotid gland. P0. 052; After operation, the absorptivity and secretion index of parotid gland in all patients were lower than those in normal side, and the difference was statistically significant (P 0.05). The absorptivity after March and the secretion index after June were higher in the superficial parotid lobectomy group than in the parotid superficial lobectomy group. Conclusion: partial parotidectomy is superior to superficial parotid lobectomy in preserving the function of absorption and secretion of parotid gland.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R739.8

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