摘要
目的:评价经耳后切口及S形切口美容手术对腮腺肿瘤患者的疗效。方法:选择2016年2月-2018年2月笔者医院收治的40例腮腺肿瘤患者的临床资料进行研究,按照手术方法不同,将患者分成观察组(20例)和对照组(20例),对照组采用传统S形切口行肿瘤切除术,观察组采用经耳后切口行肿瘤切除术。比较两组患者手术时间、术中出血量等手术指标,比较术后并发症发生情况和面神经功能恢复情况,对患者外观进行主观评分并比较术后疗效。结果:两组患者手术时间、术中出血量等手术指标比较无明显差异,不具有统计学意义(P>0.05),观察组患者切口长度明显优于对照组,两组比较差异有统计学意义(P<0.05)。两组患者术后面瘫、耳垂麻木、Frey’s综合征等并发症发生情况和面神经功能恢复情况无明显差异,两组比较无统计学意义(P>0.05),而观察组患者发生涎瘘和面部凹陷的情况明显优于对照组,有统计学意义(P<0.05)。术后观察组患者治疗有效率为95.0%,对照组为90.0%,两组比较无统计学意义(P>0.05)。观察组术后患者对外观满意评分明显优于对照组,比较有统计学意义(P<0.05)。结论:经耳后切口和S形切口手术对腮腺肿瘤患者治疗效果满意,经耳后切口美容手术能显著改善患者术后外观,可达到较好的美容效果。
Objective To evaluate the efficacy of posterior ear incision and S-shaped incision cosmetic surgery for parotid tumors.Methods Methods the clinical data of 40 patients with parotid tumor admitted in our hospital were studied from February 2016 to February 2018.According to different surgical methods,the patients were divided into observation group(20 cases)and control group(20 cases).The traditional S-shaped incision was used in the control group,while the retroauricular incision was used in the observation group.The operation time and bleeding volume were compared between the two groups.Comparing the occurrence of complications and the recovery of facial nerve function after operation,the subjective score of patients'appearance was made and the curative effect was compared.Results There was no significant difference in operative time and bleeding volume between the two groups(P>0.05).The incision length of the observation group was significantly better than that of the control group,and the difference between the two groups was statistically significant(P<0.05).There was no significant difference in the incidence of complications such as paralysis,earlobe numbness,Frey's syndrome and the recovery of facial nerve function between the two groups(P>0.05).However,the occurrence of salivary fistula and facial depression in the observation group was significantly better than that in the control group,with statistical significance between the two groups(P<0.05).The effective rate of treatment was 95.0%in the observation group and 90.0%in the control group.There was no significant difference between the two groups(P>0.05).After operation,the patients in the observation group scored significantly better than those in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion Posterior auricular incision and S-shaped incision are satisfactory for parotid gland patients.Posterior auricular incision can significantly improve the appearance of patients after operation and achieve better cosmetic effect.
作者
谢春
韩传火
李小双
余昕
杜露阳
程波
XIE Chun;HAN Chuan-huo;LI Xiao-shuang;YU Xin;DU Lu-yang;CHENG Bo(Department of Stomatology,Union Hospital of Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430056,Hubei,China;Department of Stomatology,Zhongnan Hospital of Wuhan University,Wuhan 430071,Hubei,China)
出处
《中国美容医学》
CAS
2019年第11期66-69,共4页
Chinese Journal of Aesthetic Medicine
关键词
经耳后切口
S形切口
美容手术
腮腺肿瘤
术后外观
post auricular incision
s-shaped incision
cosmetic surgery
curative effect
postoperative appearance
