中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
4期
51-53
,共3页
腮腺浅叶良性肿瘤%区域性切除术%临床应用
腮腺淺葉良性腫瘤%區域性切除術%臨床應用
시선천협량성종류%구역성절제술%림상응용
Superficial parotid benign tumor%Regional resection%Clinical application
目的：探讨区域性切除术在腮腺浅叶良性肿瘤治疗中的临床应用价值。方法：选取2011年5月-2013年3月入住本院的70例腮腺浅叶良性肿瘤首发患者（肿瘤直径均≤3 cm），按照随机数字表法将其分为观察组和对照组各35例，观察组采用区域性切除术，对照组采用传统腮腺浅叶切除术，术后所有患者随访6个月~2年，观察记录两组患者手术时间、切口长度、术中出血量及解剖面神经分支数，并发症的发生率及肿瘤的复发情况。结果：观察组患者的平均手术时间、平均切口长度、平均术中出血量、解剖面神经分支数均明显优于对照组，比较差异均有统计学意义（P<0.05）。观察组患者术后暂时性面瘫、面部畸形、涎液潴留、耳垂麻木、Frey综合征和口干等并发症的发生率均明显低于对照组，比较差异均有统计学意义（P<0.05）。而两组患者的肿瘤复发率相比较差异无统计学意义（P>0.05）。结论：区域性切除术用于治疗腮腺浅叶良性肿瘤，创伤小、术后并发症少、肿瘤复发率低，值得在临床推广应用。
目的：探討區域性切除術在腮腺淺葉良性腫瘤治療中的臨床應用價值。方法：選取2011年5月-2013年3月入住本院的70例腮腺淺葉良性腫瘤首髮患者（腫瘤直徑均≤3 cm），按照隨機數字錶法將其分為觀察組和對照組各35例，觀察組採用區域性切除術，對照組採用傳統腮腺淺葉切除術，術後所有患者隨訪6箇月~2年，觀察記錄兩組患者手術時間、切口長度、術中齣血量及解剖麵神經分支數，併髮癥的髮生率及腫瘤的複髮情況。結果：觀察組患者的平均手術時間、平均切口長度、平均術中齣血量、解剖麵神經分支數均明顯優于對照組，比較差異均有統計學意義（P<0.05）。觀察組患者術後暫時性麵癱、麵部畸形、涎液潴留、耳垂痳木、Frey綜閤徵和口榦等併髮癥的髮生率均明顯低于對照組，比較差異均有統計學意義（P<0.05）。而兩組患者的腫瘤複髮率相比較差異無統計學意義（P>0.05）。結論：區域性切除術用于治療腮腺淺葉良性腫瘤，創傷小、術後併髮癥少、腫瘤複髮率低，值得在臨床推廣應用。
목적：탐토구역성절제술재시선천협량성종류치료중적림상응용개치。방법：선취2011년5월-2013년3월입주본원적70례시선천협량성종류수발환자（종류직경균≤3 cm），안조수궤수자표법장기분위관찰조화대조조각35례，관찰조채용구역성절제술，대조조채용전통시선천협절제술，술후소유환자수방6개월~2년，관찰기록량조환자수술시간、절구장도、술중출혈량급해부면신경분지수，병발증적발생솔급종류적복발정황。결과：관찰조환자적평균수술시간、평균절구장도、평균술중출혈량、해부면신경분지수균명현우우대조조，비교차이균유통계학의의（P<0.05）。관찰조환자술후잠시성면탄、면부기형、연액저류、이수마목、Frey종합정화구간등병발증적발생솔균명현저우대조조，비교차이균유통계학의의（P<0.05）。이량조환자적종류복발솔상비교차이무통계학의의（P>0.05）。결론：구역성절제술용우치료시선천협량성종류，창상소、술후병발증소、종류복발솔저，치득재림상추엄응용。
Objective:To investigate the clinical value of regional resection in the treatment of superficial parotid benign tumor.Method:70 first-episode patients with superficial parotid benign tumor(tumor diameter were ≤ 3 cm)in our hospital from May 2011 to July 2013,they were randomly divided into the observation group and the control group,35 cases in each group.The observation group was given regional resection while the control group was given traditional superficial parotidectomy.All patients were followed for 6 months to 2 years at postoperative,the two groups’ operative time,incision length,blood loss and anatomy of the facial nerve branches number,the incidence of complications and tumor recurrence were observed and recorded.Result:The average operative time,the average length of the incision,the average blood loss,anatomy of the facial nerve branches of the observation group were significantly better than the control group,the differences were statistically significant(P<0.05).The incidence rates of temporary facial paralysis,facial deformity,salivary fluid retention,earlobe numbness,Frey syndrome,and the incidence of complications such as dry mouth of the observation group patients after surgery were significantly lower than the control group,the differences were statistically significant(P<0.05). And the tumor recurrence rate of the two groups had no statistical significance(P>0.05).Conclusion:Regional resection has the advantages of small trauma,fewer complications,low tumor recurrence rate in the treatment of superficial parotid benign tumor which is worthy of clinical application.
