CAJ | 학술논문

目的：探讨腮腺浅叶良性肿瘤功能性外科手术治疗的临床效果。方法46例腮腺良性肿瘤患者，采用功能性外科手术，即保留腮腺筋膜、保留耳大神经、保留腮腺导管、胸锁乳突肌瓣转移的腮腺部分切除术，通过13个月～3年的随访。观察术后复发、面瘫、涎瘘、味觉出汗综合征、耳垂区麻木、面部畸形等情况。结果功能性部分腮腺切除术，对于预防味觉出汗综合征、耳垂区麻木、面部畸形等方面具有良好的术后效果。本研究46例患者中，味觉出汗综合征发生6例（13．04％），术后耳垂区无麻木感者25例（54．3％），术后麻木但经口服药物治疗明显好转的16例（34．8％）。结论功能性腮腺外科手术术后并发症较少，患者生活质量较高。
목적：탐토시선천협량성종류공능성외과수술치료적림상효과。방법46례시선량성종류환자，채용공능성외과수술，즉보류시선근막、보류이대신경、보류시선도관、흉쇄유돌기판전이적시선부분절제술，통과13개월～3년적수방。관찰술후복발、면탄、연루、미각출한종합정、이수구마목、면부기형등정황。결과공능성부분시선절제술，대우예방미각출한종합정、이수구마목、면부기형등방면구유량호적술후효과。본연구46례환자중，미각출한종합정발생6례（13．04％），술후이수구무마목감자25례（54．3％），술후마목단경구복약물치료명현호전적16례（34．8％）。결론공능성시선외과수술술후병발증교소，환자생활질량교고。
Objective To analyze the treatment result of functional surgery in parotid superficial benign tumor pa -tients.Methods The clinical records of 46 cases with the parotid superficial benign tumor between 2008 and 2013 were treated by functional surgery , including preservation of the superfacial mussuloaponeurotic system , conservation of the great auricular nerve and Steven′s duct, application of sternocleidomastoid muscle flap , benign tumor underwent part su-perficial lobectomy.The cases were followed up for 13~36 months afrer surgery.The relapse, Frey′s syndrome, earlobe, facial deformity were observed and analyzed .Results Functional partial parotidectomy is superior to superfacial parotid-ectomy in the following aspectless damage to facial nerve ,reduced facial deformity ,lower incidence of Frey′s syndrome, and preserved glandular function.In the present study,no relapse case, Frey′s syndrome occurred in 6 out of 46 cases (13.04%), no earlobe 25 cases(54.3%), earlobe but improved by medicine,16 cases,(34.8%).Conclusions Functional parotid surgery results in fewer complications and better quality of life for patients with parotid tumors .