摘要
目的分析对比腮腺区良性肿瘤采用传统腮腺浅叶切除术与腮腺区域切除术治疗的临床疗效。方法便利选取该院2016年1月—2019年4月收治的67例腮腺区良性肿瘤患者为研究对象,随机分为两组,对照组采用传统腮腺浅叶切除术治疗,观察组采用腮腺区域切除术治疗,对比两组围术期指标、并发症发生情况。结果观察组手术时间为(88.63±2.28)min,短于对照组,术中出血量为(45.26±2.18)mL,少于对照组,手术切口为(6.12±1.08)cm,小于对照组,差异有统计学意义(t=16.962、21.932、18.634,P<0.05);观察组术后并发症发生率为9.09%,低于对照组的29.41%,差异有统计学意义(χ^2=4.422,P<0.05);观察组术后3个月疾病复发率为3.03%,与对照组的5.88%对比,差异无统计学意义(χ^2=0.318,P>0.05)。结论腮腺区良性肿瘤采用腮腺区域切除术治疗的临床效果优于传统腮腺浅叶切除术,具有手术时间短、术中出血量少、手术切口小、术后并发症低等诸多优势。
Objective To analyze and compare the clinical efficacy of parotid gland resection and parotid gland resection for benign tumors of parotid gland.Methods A total of 67 patients with benign parotid gland tumors admitted in the hospital from January 2016 to April 2019 were convenient selected as the research subjects,and were randomly divided into two groups.The control group was treated with traditional superficial parotidectomy and the observation group was treated with parotidectomy treatment,comparing the perioperative indicators and complications of the two groups.Results The operation time of the observation group was(88.63±2.28)min,which was shorter than that of the control group.The intraoperative blood loss was(45.26±2.18)mL,which was less than that of the control group,and the surgical incision was(6.12±1.08)cm,which was smaller than that of the control group,the difference was statistically significant(t=16.962,21.932,18.634,P<0.05);the postoperative complication rate in the observation group was 9.09%,which was lower than 29.41%in the control group,the difference was statistically significant(χ^2=4.422,P<0.05);the disease recurrence rate of 3 months after the observation group was 3.03%,compared with 5.88%of the control group,the difference was not statistically significant(χ^2=0.318,P>0.05).Conclusion The clinical effect of parotid gland resection in benign tumors of parotid gland is superior to traditional superficial parotid gland resection.It has many advantages such as short operation time,less intraoperative blood loss,small surgical incision and low postoperative complications.
作者
王从庆
孙道成
张于
彭娟
WANG Cong-qing;SUN Dao-cheng;ZHANG Yu;PENG Juan(Department of Stomatology,Jiangdu People's Hospital,Yangzhou,Jiangsu Province,225200 China)
出处
《中外医疗》
2020年第18期17-19,共3页
China & Foreign Medical Treatment
