摘要
目的比较传统及改良切口对腮腺肿瘤的疗效及面神经功能的影响。方法选择腮腺肿瘤患者82例作为研究对象,按照入院顺序,根据随机数字表法分为观察组与对照组各41例,对照组采用传统"S"形切口以及皮肤瓣修复,观察组给予改良"S"形切口及腮腺筋膜缝合,记录两组疗效与面神经功能。结果所有患者都顺利完成手术,术中无严重并发症,两组手术时间对比差异无统计学意义(P>0.05),观察组术中出血量与术后引流量明显少于对照组(P<0.05)。术后3个月观察组与对照组面神经损伤发生率分别为2.4%和14.6%,观察组明显低于对照组(P<0.05),配合面部肌肉功能训练后明显好转。观察组术后3个月的血肿、感染、皮肤麻木、涎漏等并发症发生率为7.3%,对照组为26.8%,观察组明显低于对照组(P<0.05)。结论相对于传统切口,改良切口在手术治疗腮腺肿瘤中的应用能减少术中出血量与术后引流量,促进面神经功能的恢复,减少术后并发症的发生。
Objective To compare the curative effect and facial nerve function of parotid gland tumor with traditional and modified incision. Methods 82 parotid gland tumor patients were selected as the research object, all the patients were divid- ed into observation group and control group with 41 cases in each group accorded to the order of admission, the control group was used the traditional ＂S＂ shaped incision and skin flap, the observation group was given modified ＂S＂ shaped incision and parotid fascia suture, two groups＇ curative effect and facial nerve function were recorded. Results All patients were successfully comple- ted surgery and there were no serious complications, there were no statistically significant difference compared between the two groups in operation time （ P 〉 0.05 ）, the amount of bleeding and postoperative drainage volume in the observation group were sig- nificantly less than the control group （ P 〈 0.05 ）. The postoperative 3 months incidence of facial nerve injury in the observation group and the control group was 2.4% and 14.6% respectively, and the observation group was significantly lower than that of the control group （ P 〈 0.05 ） , which were all improved obviously after the facial muscle function training. The postoperative 3 months of incidence of complications such as hematoma, infection, skin numbness and leakage was 7.3% in the observation group, so that was 26.8% in the control group, and the observation group was lower than that of the control group （P 〈 0.05 ）. Conclusion Compared with the traditional incision, the application of modified incision in the treatment of parotid tumor can reduce intraopera- tive bleeding volume and postoperative drainage, promote the recovery of facial nerve function, and reduce the incidence of postop- erative complications.
作者
李戍军
王宝岗
LI Shujun,WANG Baogang.(Xi＇an 323 Hospital of the People＇s Liberation Army,Xi＇an,71005)
出处
《实用癌症杂志》
2018年第4期683-685,689,共4页
The Practical Journal of Cancer
关键词
腮腺肿瘤
面神经功能
“S”形切口
并发症
Parotid tumor
Facial nerve function
＂ S＂ shaped incision
Complications
