摘要
目的：比较两种腮腺肿瘤切除术的疗效及并发症发生率，探讨保留腮腺功能、减少手术并发症及术后面部畸形的最佳方法。方法：将我科收治确诊的41例腮腺肿瘤患者分为两组，传统腮腺浅叶切除术23例（浅叶组），肿瘤包膜外0．5cm部分腺体与肿瘤切除术18例（部分切除组）。部分切除术组给予全麻，肿瘤附近长5．0cm切口，翻瓣，沿肿瘤外0．5cm处，借助剪刀、双极电凝、神经探测监测仪逐步分离，保护面神经分支。完整切除肿瘤连同肿瘤外0．5cm腮腺组织一并切除，分层缝合，负压引流。结果：随访1～3年。浅叶组口干3例，部分切除术组无口干；两组各有一过性额支支配区麻木症状2例；浅叶组均不同程度出现面部凹陷畸形，部分切除组面部畸形不明显；两组随访期内均无复发。结论：肿瘤外0．5cm肿瘤与部分腺体切除术治疗腮腺良性肿瘤安全可行，面部畸形不明显，腮腺功能保留良好。
Objective： To compare the efficacy and complications between two methods of Parotidectomy, and to explore in the best technique for preserving function of parotid gland and lessening complications and postoperative facial maformation. Methods： 41 cases of parotid gland tumor were divided into two groups： group with superficial parotidectomy（ n = 23）, and group with partly parotidectomy （n = 18） including resection on tumor and partly gland limited in 0.5 cm from outer envelope of tumor. Results： Followed up between 1 year and 3 years, 3 cases in group with superficial parotidectomy 0 case in group with partly parotidectomy occurred dry mouth, 2 cases in each group occurred temporary numbness in region innvervating by frontal branch. There was facial malformation in all cases in group with superfical parotidectomy but no obvious malformation in group with partly parotidectomy. No cases recurred during follow - up duration. Conclusion： Partly parotidectomy （ n = 18） including resection on tumor and partly gland limited in 0.5 cm from outer envelope of tumor is safe and feasible in treating parotid tumors, there is no obvious facial malformation. The technique can reserve function of parotid gland.
出处
《内蒙古医学杂志》
2009年第3期296-297,共2页
Inner Mongolia Medical Journal
