摘要
目的评估改良型腮腺切除术治疗腮腺肿瘤的临床优势。方法选择2012年1月至2014年1月间河北省保定市第二医院采用改良型腮腺切除术治疗的51例腮腺肿瘤患者作为观察组,同期采用传统腮腺切除术治疗的48例腮腺肿瘤患者作为对照组,比较两种手术方案的临床应用效果。结果两组患者的手术时间、术中出血量以及手术后当天引流量差异无统计学意义(P>0.05),但观察组患者的住院时间明显短于对照组,差异有统计学意义(P<0.05)。两组患者术后生命体征[收缩压(SBP)、平均动脉压(MAP)、心率(HR)]差异无统计学意义(P>0.05)。观察组患者的发症发生率为3.9%,显著低于对照组的18.8%,差异有统计学意义(P<0.05)。术后6个月观察组患者的生活质量评分(QOL)显著高于对照组,差异有统计学意义(P<0.05)。结论改良型腮腺切除术治疗腮腺肿瘤能够降低并发症发生率,利于患者的康复,并且可更好地改善患者的术后生活质量,具有显著的临床应用优势。
Objective To evaluate the clinical advantages of modified parotidectomy in the treatment of parotid neoplasms. Methods From January 2012 to January 2014,51 cases of parotid neoplasms treated with modified parotidectomy in The Second Hospital of Baoding were enrolled as the observation group,and 48 cases of parotid neoplasms treated with traditional parotidectomy in the same period were enrolled as the control group. The clinical applications of the two groups were compared. Results There were no significant differences in the operative time,blood loss and postoperative drainage day between the two groups,with no significant difference（ P〉0. 05）,but the length of stay of the observation group was significantly shorter than that of the control group,with significant difference（ P〈0. 05）; there was no significant difference in vital signs systolic blood pressure（ SBP）,mean arterial pressure（ MAP）,heart rate（ HR） of the two groups after operation,with no significant difference（ P〉0. 05）; the complication rate of the observation group was 3. 9%,significantly lower than 18. 8% of the control group,with significant difference（ P〈0. 05）; 6 months after operation,quality of life（ QOL） score of the observation group was significantly higher than that of the control group,with significant difference（ P〈0. 05）. Conclusions Modified parotidectomy in the treatment of parotid neoplasms can reduce the incidence of complications and improve the quality of life after surgery. And it has significant clinical advantages.
出处
《中国肿瘤临床与康复》
2015年第2期158-160,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
腮腺肿瘤
外科手术
治疗结果
Parotid neoplasms
Surgical procedures
operative
Treatment outcome
