腮腺区良性病变术后并发症发生的相关因素分析

发布时间：2018-07-03 12:41

本文选题：腮腺区良性病变 + 手术治疗　；参考：《新疆医科大学》2017年硕士论文

【摘要】：目的:探讨腮腺良性病变术后各类并发症发生的相关因素。方法:采用SPSS17.0统计软件,对计数资料两组间比较采用卡方检验的方法,P0.05为差异有统计学意义。搜集并整理我院2010年-2015年手术治疗的215例腮腺良性病变患者的病历,回顾分析一般资料、手术治疗中的不同因素及术后并发症的发生情况。结果:术后积涎或涎瘘、面神经功能障碍及Frey综合征的发生与手术治疗中不同因素(手术切口、术中是否缝扎腺体残端、面神经解剖方式、手术切除范围及是否行胸锁乳突肌瓣转移修复等)之间有显著相关性(P0.05)。结论:“N”形切口在解剖形态上不利于术后常规引流渗出液,需配合负压引流管,以减少术后积涎的发生。缝扎腺体残端能有效避免术后积涎及涎瘘的发生。顺行法解剖面神经及腮腺病变区域性切除能加快手术速度,减少面神经的解剖量及暴露时间,从而减轻术后面神经功能障碍的发生。胸锁乳突肌瓣的转移修复能很好避免术后Frey综合征的发生。
[Abstract]:Objective: to investigate the related factors of postoperative complications of benign parotid gland disease. Methods: the statistical software SPSS 17.0 was used to compare the counting data between the two groups by chi-square test (P0.05). The medical records of 215 patients with benign parotid gland diseases treated in our hospital from 2010 to 2015 were collected and analyzed retrospectively. The general data, the different factors in surgical treatment and the occurrence of postoperative complications were analyzed retrospectively. Results: the occurrence of salivary fistula, facial nerve dysfunction and Frey syndrome and the different factors in surgical treatment (surgical incision, whether to sew the stump of gland during operation, anatomic mode of facial nerve), and the occurrence of postoperative salivary fistula, facial nerve dysfunction and Frey syndrome were analyzed. There was a significant correlation between the range of surgical resection and whether the sternocleidomastoid muscle flap was transferred or repaired (P0.05). Conclusion: the anatomic morphology of the "N" incision is not conducive to the conventional drainage and exudate after operation, and the negative pressure drainage tube should be used to reduce the occurrence of postoperative accumulated salivation. Ligation of the stump of glands can effectively avoid postoperative salivation and salivary fistula. The anterograde dissection of facial nerve and parotid gland lesion can accelerate the operation speed, reduce the anatomic amount and exposure time of facial nerve, and reduce the occurrence of facial nerve dysfunction after operation. The metastatic repair of sternocleidomastoid muscle flap can avoid Frey syndrome after operation.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R739.8

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