CAJ | 학술논문

目的：探讨改良术式结合二次翻瓣法较传统术式治疗腮腺良性肿瘤预防味觉出汗（Frey）综合征的临床效果。方法选择腮腺良性肿瘤切除术患者28例，按治疗方法不同分为观察组12例，对照组16例。观察组行改良术式结合二次翻瓣法，保留腮腺咬肌筋膜、保留耳大神经分支和腮腺区域性切除术，对照组按常规行腮腺肿瘤及腮腺浅叶或全叶切除术。术后随访6个月至1年，行 Minor 试验，记录 Frey 综合征发生病例数，对两组术后 Frey 综合征发生率进行比较。结果观察组术后 Frey 综合征发生率为16．67％，低于对照组的68．75％，两组差异有统计学意义（χ2＝7．479，P ＜0．05）。结论改良术式结合二次翻瓣法在腮腺良性肿瘤治疗中对预防 Frey 综合征的临床效果较传统术式具有明显优势。
목적：탐토개량술식결합이차번판법교전통술식치료시선량성종류예방미각출한（Frey）종합정적림상효과。방법선택시선량성종류절제술환자28례，안치료방법불동분위관찰조12례，대조조16례。관찰조행개량술식결합이차번판법，보류시선교기근막、보류이대신경분지화시선구역성절제술，대조조안상규행시선종류급시선천협혹전협절제술。술후수방6개월지1년，행 Minor 시험，기록 Frey 종합정발생병례수，대량조술후 Frey 종합정발생솔진행비교。결과관찰조술후 Frey 종합정발생솔위16．67％，저우대조조적68．75％，량조차이유통계학의의（χ2＝7．479，P ＜0．05）。결론개량술식결합이차번판법재시선량성종류치료중대예방 Frey 종합정적림상효과교전통술식구유명현우세。
Objective To evaluate the effects of the modified opration of benign tumor in parotid gland on the prevention of Frey syndrome.Methods the Parotid benign tumor resection in 28 cases were selected,according to the different treatment methods were divided into observation group of 12 cases,16 cases of the control group.The modified surgical patients in the observation group,two flap method,preservation,preservation of parotid masseter fascia in the branches of the great auricular nerve and parotid region resection,the control group was treated by routine tumors of the parotid gland and parotid superficial lobectomy or resection.Patients were followed up for 6 months to 1 years,underwent minor test,the incidence of Frey syndrome in 2 cases were recorded,postoperative incidence of Frey syndrome were compared.Results The incidence of Frey syndrome in the observation group was significantly reduced compared with the control group.The difference was statistically significant (χ2 =7.479,P <0.05 ). Conclusion The effects of modified opetation combined with secondry disc method in benign tumor of parotid gland on the prevention of Frey syndrome has obvious advantages comparing with the control.