腮腺浅叶部分切除术与浅叶切除术治疗腮腺浅叶良性肿瘤的回顾性研究

发布时间：2018-08-29 11:57

【摘要】：目的:评估腮腺浅叶部分切除术(PSP)与浅叶切除术(SP)治疗腮腺浅叶良性肿瘤的疗效,为临床术式选择提供依据。方法:168例腮腺浅叶良性肿瘤手术患者根据术式不同分为PSP与SP两组,对比两组手术情况、并发症、复发率及腺体功能,相关数据采用SPSS 22.0软件进行统计分析。结果:PSP组手术切口长度和时间分别为(6.65±1.17)cm及(82.25±11.56)min,SP组分别为(10.86±1.65)cm及(121.42±17.32)min,PSP组优势明显(P0.01);PSP组并发症发生率显著低于SP组(P0.05);PSP组保留腮腺大部分功能,SP组无腮腺分泌功能;两组术后复发率无显著差异(P0.05)。结论:PSP治疗腮腺浅叶良性肿瘤临床效果好,在复发率未见显著增加的前提下手术切口、范围、时间均显著减小,并发症发生率显著下降,且可有效保留腺体功能,是一种可靠、可行、值得推广的手术方法。
[Abstract]:Objective: to evaluate the efficacy of partial parotidectomy (PSP) and superficial lobectomy (SP) in the treatment of benign parotid tumors. Methods Twenty eight patients with benign parotid gland tumor were divided into two groups according to different operation methods: PSP group and SP group. The operation conditions, complications, recurrence rate and gland function were compared between the two groups. The data were analyzed by SPSS 22.0 software. Results the operative incision length and time were (6.65 卤1.17) cm and (82.25 卤11.56) min,SP, respectively, which were (10.86 卤1.65) cm and (121.42 卤17.32) min,PSP, respectively. The incidence of complications in PSP group was significantly lower than that in SP group (P0.05). There was no significant difference in recurrence rate between the two groups (P0.05). Conclusion the treatment of benign parotid gland tumor with PSP has a good clinical effect. The scope and time of surgical incision are significantly reduced, the incidence of complications is significantly decreased, and the function of gland can be effectively preserved, so it is a reliable method for the treatment of benign parotid gland tumor without any significant increase in recurrence rate. Feasible and worth popularizing operation method.
【作者单位】：大连大学附属中山医院口腔颌面外科;大连医科大学附属大连市口腔医院牙体牙髓科;
【分类号】：R739.8

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