齐齐哈尔医学院学报
齊齊哈爾醫學院學報
제제합이의학원학보
Journal of Qiqihar University of Medicine
2015年
26期
3935-3937
,共3页
耳大神经耳后%耳垂支%改良术式的腮腺切除术%二次翻瓣法%腮腺良性肿瘤
耳大神經耳後%耳垂支%改良術式的腮腺切除術%二次翻瓣法%腮腺良性腫瘤
이대신경이후%이수지%개량술식적시선절제술%이차번판법%시선량성종류
Post aurem and auricular lobule branches of great auricular nerve%Modified parotidectomy%Secondary disc method%Parotid benign tumor
目的：比较腮腺良性肿瘤改良术式结合二次翻瓣法较传统术式对患者耳垂及外耳廓区皮肤感觉恢复的影响。方法选择2005年7月至2014年6月在我院行腮腺良性肿瘤切除术患者22例，随机分为实验组和对照组，每组11例。实验组行保留腮腺咬肌筋膜，二次翻瓣法，解剖并保留耳大神经耳后、耳垂支和腮腺区域性切除术的腮腺良性肿瘤改良手术方式。对照组按常规行腮腺肿瘤及腮腺浅叶或全叶切除术。术后观察、随访6个月。采用SPSS 13．0统计软件包中的检验，对两组患者术后耳垂及外耳廓区皮肤感觉恢复情况进行χ2比较。结果实验组中患者耳垂及外耳廓区感觉恢复情况明显优于对照组，差异具有显著性（P＜0．05）。结论改良术式结合二次翻瓣法比传统手术方式在腮腺良性肿瘤治疗中对保存耳垂及外耳廓皮肤感觉具有明显优势。
目的：比較腮腺良性腫瘤改良術式結閤二次翻瓣法較傳統術式對患者耳垂及外耳廓區皮膚感覺恢複的影響。方法選擇2005年7月至2014年6月在我院行腮腺良性腫瘤切除術患者22例，隨機分為實驗組和對照組，每組11例。實驗組行保留腮腺咬肌觔膜，二次翻瓣法，解剖併保留耳大神經耳後、耳垂支和腮腺區域性切除術的腮腺良性腫瘤改良手術方式。對照組按常規行腮腺腫瘤及腮腺淺葉或全葉切除術。術後觀察、隨訪6箇月。採用SPSS 13．0統計軟件包中的檢驗，對兩組患者術後耳垂及外耳廓區皮膚感覺恢複情況進行χ2比較。結果實驗組中患者耳垂及外耳廓區感覺恢複情況明顯優于對照組，差異具有顯著性（P＜0．05）。結論改良術式結閤二次翻瓣法比傳統手術方式在腮腺良性腫瘤治療中對保存耳垂及外耳廓皮膚感覺具有明顯優勢。
목적：비교시선량성종류개량술식결합이차번판법교전통술식대환자이수급외이곽구피부감각회복적영향。방법선택2005년7월지2014년6월재아원행시선량성종류절제술환자22례，수궤분위실험조화대조조，매조11례。실험조행보류시선교기근막，이차번판법，해부병보류이대신경이후、이수지화시선구역성절제술적시선량성종류개량수술방식。대조조안상규행시선종류급시선천협혹전협절제술。술후관찰、수방6개월。채용SPSS 13．0통계연건포중적검험，대량조환자술후이수급외이곽구피부감각회복정황진행χ2비교。결과실험조중환자이수급외이곽구감각회복정황명현우우대조조，차이구유현저성（P＜0．05）。결론개량술식결합이차번판법비전통수술방식재시선량성종류치료중대보존이수급외이곽피부감각구유명현우세。
Objective To compare the effects of modified operation combined with secondary disc method in benign tumor of parotid gland and traditional surgery on the sensory recovery of the auricular lobule and auricle skin.Methods 22 patients with parotid benign tumor who received parotidectomy in our hospital from2005.7 to 201.6 were randomly divided into experimental group ( n =11 ) and control group ( n =11 ) .In experimental group, the modified operation of benign tumor in parotid gland included regional ectomy of parotid, secondary disc method, reservation of fascia parotidea masseterica and dissection and reservation of the post aurem and auricular lobule branches of great auricular nerve.In the control group, the 11 patients were operated by the conventional technique.After 6 months, the effects of 2 groups on the sensory recovery of the skin of the auricular lobule and auricle region were evaluated.The data were analyzed with SPSS 13.0 software package for x2test. Results The sensory recovery of the skin of the auricular lobule and auricle region in experimental group was better than in control group.The difference was statistically significant (P<0.05).Conclusions The modified operation combined with secondary disc method in benign tumor of parotid gland has obvious advantages in the sensory recovery of the skin of the auricular lobule and auricle region comparing with the traditional operation mode.
