CAJ | 학술논문

　　目的探讨保留腮腺主导管的腮腺肿瘤浅叶部分切除术临床效果及安全性。方法腮腺肿瘤患者74例，采用随机数字表法分为对照组（B组）和浅叶部分切除组（A组），每组各37例，分别采用传统浅叶全切术和保留腮腺主导管浅叶部分切除术治疗。比较两组患者手术切口长度、Ⅰ期愈合率，术后复发率及术后并发症发生情况等。结果 A组患者手术切口长度及Ⅰ期愈合率均明显优于B组，组间比较差异有统计学意义（P<0.05）。两组患者术后复发率均为5.4%；两组患者术后复发率组间比较无显著差异（P<0.05）。A组患者术后唾液积留、涎瘘、面部畸形、面瘫及Frey综合征等并发症发生率均明显优于B组，组间比较差异有统计学意义（P<0.05）。结论相比较传统浅叶全切术，保留腮腺主导管的腮腺肿瘤浅叶部分切除术能够有效减少手术创伤，减少复发率，降低术后并发症出现风险，临床效果确切。
　　목적탐토보류시선주도관적시선종류천협부분절제술림상효과급안전성。방법시선종류환자74례，채용수궤수자표법분위대조조（B조）화천협부분절제조（A조），매조각37례，분별채용전통천협전절술화보류시선주도관천협부분절제술치료。비교량조환자수술절구장도、Ⅰ기유합솔，술후복발솔급술후병발증발생정황등。결과 A조환자수술절구장도급Ⅰ기유합솔균명현우우B조，조간비교차이유통계학의의（P<0.05）。량조환자술후복발솔균위5.4%；량조환자술후복발솔조간비교무현저차이（P<0.05）。A조환자술후타액적류、연루、면부기형、면탄급Frey종합정등병발증발생솔균명현우우B조，조간비교차이유통계학의의（P<0.05）。결론상비교전통천협전절술，보류시선주도관적시선종류천협부분절제술능구유효감소수술창상，감소복발솔，강저술후병발증출현풍험，림상효과학절。
Objective To explore the clinical effects and safety of superfical lobe partial resection preserving the main parotid gland for parotid tumor. Methods 74 cases of parotid tumor was divided into contral group(B) and superfical lobe partial resection group(A) with 37 cases each, the traditional total superficial lobectomy and superfical lobe partial resection preserving the main parotid gland were applied. The length of incision, the rates ofⅠstage recovery, recurrentand complication were compared. Results The length of incision and the rates ofⅠstage recovery were much better in group A than group B(P<0.05). The recurrent rate was 5.4%, in two groups, there was no significant difference in recurrent rate between the two groups(P<0.05). The complications of excessive remant saliva, salivary fistula, facial malformation, facial paralysis and Frey syndrome were much better in group A than B(P<0.05). Conclusions Compared wth traditional total superficial lobectomy, superfical lobe partial resection preserving the main parotid gland can effectively reduce the trauma of operation, the recurrent rate and the complication rate with valid clinical results.