保留耳大神经束与腮腺筋膜的后径路腮腺区域性切除术临床疗效分析

发布时间：2018-07-02 23:03

本文选题：腮腺肿瘤 + 腮腺筋膜　；参考：《临床耳鼻咽喉头颈外科杂志》2017年08期

【摘要】：目的:探讨采用保留耳大神经束与腮腺筋膜的后径路腮腺区域性切除术治疗腮腺良性肿瘤的临床疗效。方法:将112例腮腺良性肿瘤患者随机分为对照组和治疗组,对照组行保留耳大神经与腮腺筋膜的前径路腮腺区域性切除术,治疗组行保留耳大神经束与腮腺筋膜的后径路腮腺区域性切除术。对两组患者的手术时间、术后局部麻木、Frey综合征、面瘫及术后复发情况等临床数据进行分析。结果:两组术后复发、手术时间、面瘫发生率比较,差异均无统计学意义(均P0.05)。但术后6个月,对照组局部麻木率以及Frey综合征发生率更高,差异均有统计学意义(均P0.05)。结论:采用保留耳大神经束与腮腺筋膜的后径路腮腺区域性切除术能取得与传统手术一致的疗效,并发症少,术后瘢痕明显缩小且局部无凹陷畸形,更大程度上符合美容及功能性外科的要求。
[Abstract]:Objective: to investigate the clinical effect of posterior approach parotid gland resection with preserving auricular nerve bundle and parotid fascia in the treatment of parotid benign tumors. Methods: 112 patients with parotid benign tumor were randomly divided into control group and treatment group. The treatment group was treated with posterior approach parotidectomy with preserving the auricular nerve bundle and parotid fascia. The time of operation, postoperative local numbness and Frey syndrome, facial paralysis and recurrence were analyzed. Results: there was no significant difference in recurrence, operation time and incidence of facial paralysis between the two groups (P0.05). However, the incidence of local numbness and Frey syndrome in the control group was significantly higher than that in the control group 6 months after operation (P0.05). Conclusion: regional parotidectomy with preserving the auricular great nerve bundle and parotid fascia can achieve the same curative effect as the traditional operation, with fewer complications, less scar reduction and no local deformity. More in line with the requirements of cosmetic and functional surgery.
【作者单位】：萍乡市人民医院耳鼻咽喉头颈外科;萍乡市人民医院口腔颌面外科;
【分类号】：R739.87

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