CAJ | 학술논문

目的：探讨腮腺浅叶良性肿瘤腺体部分切除并使用生物组织片修复腮腺咬肌筋膜临床疗效。方法：将86例腮腺浅叶良性肿瘤分为两组，观察组行腮腺部分切除并重建腮腺咬肌筋膜；对照组行传统浅叶切除术，比较两种手术后并发症发生率。结果：采用改良手术后面瘫、Frey 综合征、口干的发生率均低于传统腮腺浅叶切除术（P ＜0．05），而两组肿瘤复发率无明显差异（P ＞0．05）。结论：腮腺浅叶良性肿瘤改良切除术手术创伤小，并发症少，还可以保存腮腺大部分功能。
목적：탐토시선천협량성종류선체부분절제병사용생물조직편수복시선교기근막림상료효。방법：장86례시선천협량성종류분위량조，관찰조행시선부분절제병중건시선교기근막；대조조행전통천협절제술，비교량충수술후병발증발생솔。결과：채용개량수술후면탄、Frey 종합정、구간적발생솔균저우전통시선천협절제술（P ＜0．05），이량조종류복발솔무명현차이（P ＞0．05）。결론：시선천협량성종류개량절제술수술창상소，병발증소，환가이보존시선대부분공능。
Objective :To evaluate the clinical efficacy of modified partial parotidectomy with biological tis‐sue patches inbenigntumor of superficial Lobe of parotidgland .Methods :86 patients who received a benigntumor of superficial Lobe of parotidgland were divided into two groups .Patients of experimental group were reconstructed pa‐rotid massctcric fascia during the course of modified partial parotidectomy .Other patients received traditional superfi‐cial parotidectomy .Allpatientswere followed to investigate the rate of postoperative complication .Results :Surgical complications(facial paralysis ,Frey’S syndrome and Xerostomla)were lower in modified partial parotidectomy than in traditional superficial parotidectomy ,but the recurrence rate was notsignificantly different between two surgical modalities .Conclusion :modified partial parotidectomy could retain more parotid gland tissue ,has less complications and can be the first choice for the treatment of benigntumor of superficial Lobe of parotidgland .