摘要
目的探讨保留颌外动脉和面前静脉的颌下腺摘除改良术式的价值。方法选择本院4年来因炎症或良性肿瘤需要行颌下腺摘除术的患者41例,分成2组:A组采用传统的颌下腺摘除术式;B组采用保留颌外动脉和面前静脉的改良颌下腺摘除术式。观察比较两组的手术时间、出血量、患者心理顺应性。结果保留颌外动脉的颌下腺摘除术式与传统术式患者手术时间、术中出血量相当。结论保留颌外动脉和面前静脉并没有增加手术时间和出血量,患者心理顺应性更好,手术创伤小,保留下来的血管为今后可能的口腔缺损修复提供了营养基础,符合现代外科学的微创原则。
Objective To investigate the sion by keeping facial arteries and veins. Methods value of the improved submandibular gland exci- Forty - one patients who received submandibular gland excisions in our hospital due to inflammation or benign tumor in the past four years were cho- sen. Patients were divided into two groups. Group A received traditional submandibular gland exci- sion and group B received modified submandibular gland excision （retaining the external maxillary artery and anterior facial vein）. Observations were made through comparing operation duration, blood loss and mental compliance of patients. Results No significant differences were found be- tween the operation by keeping the facial arteries and veins and traditional operations. Conclusion Reserving the facial arteries and veins does not increase the operation duration and blood loss. As a result, patients have better mental compliance and less invasive operations. Also, preserving blood vessels provides a nutritional foundation for possible future oral defect recovery in line with the prin- ciple of modern micro- invasive operations.
出处
《实用临床医药杂志》
CAS
2012年第19期87-88,96,共3页
Journal of Clinical Medicine in Practice
基金
中国高校医学期刊临床专项资金(11220160)
关键词
颌下腺
颌外动脉
面前静脉
微创手术
submandibular gland
external maxillary artery
anterior facial vein
micro- invasive operation
