改良面部除皱切口与改良Blair切口在腮腺浅叶肿瘤切除术中的对照研究

发布时间：2018-06-21 11:57

本文选题：腮腺手术 + 改良面部除皱切口　；参考：《临床耳鼻咽喉头颈外科杂志》2017年21期

【摘要】：目的:评价改良面部除皱切口在腮腺浅叶肿瘤切除术中的应用价值。方法:收集2012-01-2015-01期间广东省人民医院耳鼻咽喉头颈外科收治的71例腮腺浅叶良性肿瘤患者。所有患者均实施面神经解剖加腮腺浅叶部分(或腮腺浅叶)切除术,其中采用改良面部除皱切口36例,改良Blair切口35例。比较2组术野暴露、手术时间、术中出血量、术后并发症发生率以及平均客观美容满意度评分。结果:在术野暴露、手术时间、术中出血量、术后暂时性面神经麻痹的发生率,2组间差异无统计学意义(P0.05);而术后耳垂麻木发生率和平均客观美容满意度评分,改良面部除皱切口组均优于改良Blair切口组(P0.05)。结论:在腮腺浅叶良性肿瘤切除术中,改良面部除皱切口可以达到改良Blair切口相同的术野暴露及手术效果,并避免了术后耳垂麻木的发生,同时切口相对隐蔽,术后美容效果良好,可供临床选择。
[Abstract]:Objective: to evaluate the application value of modified facial wrinkle removal incision in parotid gland superficial lobectomy. Methods: 71 patients with benign tumors of parotid gland superficial lobe were collected from the Department of Otolaryngology and head and neck surgery of Guangdong Provincial people's Hospital from January 2012 to January 2015-01. All patients were treated with facial nerve anatomy and parotid superficial lobectomy, including 36 cases with modified facial wrinkle removal incision and 35 cases with modified Blair incision. The surgical field exposure, operative time, intraoperative bleeding, postoperative complications and average objective beauty satisfaction were compared between the two groups. Results: there was no significant difference in postoperative field exposure, operative time, intraoperative blood loss and postoperative temporary facial paralysis between the two groups (P 0.05), but there was no significant difference between the two groups in the incidence of earlobe numbness and the average score of objective beauty satisfaction. The modified facial wrinkle removal incision group was superior to the modified Blair incision group (P 0.05). Conclusion: in the resection of parotid superficial lobar benign tumor, the modified facial wrinkle removal incision can achieve the same surgical field exposure and surgical effect as the modified Blair incision, and avoid the occurrence of postoperative ear lobe numbness, while the incision is relatively concealed. The cosmetic effect is good after operation and can be used as a clinical choice.
【作者单位】：惠州市中心人民医院耳鼻咽喉头颈外科;广东省人民医院(广东省医学科学院)耳鼻咽喉头颈外科;
【基金】：广东省科技计划项目(No:2011B080701035) 广东省医学科研基金(No:C2015026)
【分类号】：R739.8

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