中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
13期
1982-1984
,共3页
腮腺肿瘤%口腔外科手术
腮腺腫瘤%口腔外科手術
시선종류%구강외과수술
Parotid neoplasms%Oral surgical procedures
目的 探讨腮腺肿瘤临床手术治疗的理想方法.方法 行腮腺肿瘤切除术的患者,分为肿瘤和腮腺全切除术、肿瘤和部分腮腺切除术以及肿瘤和腮腺浅叶切除术三组,各50例,手术后观察患者手术时间、治愈复发情况等相关项目.结果 150例腮腺患者良性肿瘤患者占84.66％,恶性肿瘤患者占15.34％.肿瘤切除和部分腮腺切除术患者的手术时间(74.00±12.54) min明显少于全切组(112.00±20.37) min和浅叶组患者(98.00±17.35) min,部分组患者的面部满意例数(48例)和腮腺保留功能情况(45例)显著优于另两组,手术后的并发症发病情况(3.3％)明显少于其余两组(10.7％、8.7％),差异有统计学意义(P＜0.05).结论 腮腺肿瘤患者采用肿瘤和腮腺部分切除术手术的时间较短,治愈情况理想,可有效的控制肿瘤的复发转移同时术后的并发症少,在面部外观方面满意度高并且可以部分保留腮腺的功能,优势明显.
目的 探討腮腺腫瘤臨床手術治療的理想方法.方法 行腮腺腫瘤切除術的患者,分為腫瘤和腮腺全切除術、腫瘤和部分腮腺切除術以及腫瘤和腮腺淺葉切除術三組,各50例,手術後觀察患者手術時間、治愈複髮情況等相關項目.結果 150例腮腺患者良性腫瘤患者佔84.66％,噁性腫瘤患者佔15.34％.腫瘤切除和部分腮腺切除術患者的手術時間(74.00±12.54) min明顯少于全切組(112.00±20.37) min和淺葉組患者(98.00±17.35) min,部分組患者的麵部滿意例數(48例)和腮腺保留功能情況(45例)顯著優于另兩組,手術後的併髮癥髮病情況(3.3％)明顯少于其餘兩組(10.7％、8.7％),差異有統計學意義(P＜0.05).結論 腮腺腫瘤患者採用腫瘤和腮腺部分切除術手術的時間較短,治愈情況理想,可有效的控製腫瘤的複髮轉移同時術後的併髮癥少,在麵部外觀方麵滿意度高併且可以部分保留腮腺的功能,優勢明顯.
목적 탐토시선종류림상수술치료적이상방법.방법 행시선종류절제술적환자,분위종류화시선전절제술、종류화부분시선절제술이급종류화시선천협절제술삼조,각50례,수술후관찰환자수술시간、치유복발정황등상관항목.결과 150례시선환자량성종류환자점84.66％,악성종류환자점15.34％.종류절제화부분시선절제술환자적수술시간(74.00±12.54) min명현소우전절조(112.00±20.37) min화천협조환자(98.00±17.35) min,부분조환자적면부만의례수(48례)화시선보류공능정황(45례)현저우우령량조,수술후적병발증발병정황(3.3％)명현소우기여량조(10.7％、8.7％),차이유통계학의의(P＜0.05).결론 시선종류환자채용종류화시선부분절제술수술적시간교단,치유정황이상,가유효적공제종류적복발전이동시술후적병발증소,재면부외관방면만의도고병차가이부분보류시선적공능,우세명현.
Objective To explore the ideal method of parotid tumors by clinical surgical treatment.Methods 150 patients with parotid gland tumor were divided into parotid gland tumors and total resection of the tumor,partial parotidectomy and parotid gland tumors and shallow lobectomy three groups,fifty cases in each group.After the operation,operation time,cure recurrence and other related projects were observed.Results In 150 patients with parotid gland tumor,benign parotid gland tumors accounted for 84.66％,malignant tumor accounted for 15.34％.The operation time of tumor resection group and partial parotidectomy group was (74.00 ± 12.54) min,which was less than that of the total resection group (112.00 ± 20.37) min and shallow leaf group (98.00 ± 17.35) min.The number of patients satisfied with facial in partial resection group was 48 cases,and 45 cases with parotid gland function reserved,which were significantly better than the other two groups,incidence rate of postoperative complications (3.3％) was obviously less than the other two groups (10.7％,8.7％),the difference was statistically significant (P ＜ 0.05).Conclusion The operation time of patients with parotid gland tumor underwent partial resection is short,the cure condition is ideal,can effectively control the tumor relapse,metastasis and postoperative complications,can keep part of the parotid gland function,has obvious advantages.
