摘要
目的:探讨不同引流方式在腮腺手术中的应用及美容效果。方法:选取腮腺良性肿瘤患者60例,以入院单双号进行分组,单号为Xp组(负压引流颈部开口)30例,双号Fy组(负压引流头皮开口)30例,对Xp组、Fy组临床资料进行分析,记录Xp组、Fy组手术相关指标,比对Xp组、Fy组术后疼痛程度、术后并发症情况及美容效果满意度。结果:Xp组、Fy组肿瘤大小、患病侧、年龄、性别比较,差异无统计学意义(P>0.05)。Xp组手术时间较Fy组延长,术中出血量多于Fy组,拔管时间延长并高于Fy组,手术引流量较Fy组有明显升高,Xp组、Fy组手术相关指标对比差异均有统计学意义(t 手术相对=2.021,t手术出血量=3.714,t拔管时间=2.534,t手术引流量=2.104,P<0.05)。Xp组术后轻度疼痛病患较Fy组少7例,中度疼痛患者较Fy组多4例,Xp组、Fy组重度疼痛相差1例,强烈疼痛相差2例,组间对比差异无统计学意义(P>0.05)。Xp组涎瘘患者较Fy组多1例,Fy组无感染者,Xp组1例。Xp组面神经坏死患者较Fy组多4例,Frey综合征较Fy组多2例,Xp组不良反应发生率(36.6%)高于Fy组(10.0%)(χ^(2)=4.034,P<0.05)。Xp组美容效果非常满意者较Fy组少15例,基本满意者较Fy组多9例,不满意者较Fy组多7例,Xp组满意度(76.7%)明显低于Fy组(96.7%)(χ^(2)=4.025,P<0.05)。结论:负压引流头皮开口方式在腮腺手术中的美容效果较好,且术后疼痛程度较轻,不良反应发生率也明显降低。
OBJECTIVE To explore the application of different drainage methods in parotid gland operation and the analysis of its cosmetic effect. METHODS 60 patients with parotid benign tumor were divided into two groups:30 patients in XP group and 30 patients in FY group. The clinical data of XP group and FY group were analyzed. The time of operation related indexes of XP group and FY group was recorded. The degree of postoperative pain of XP group and FY group was compared. The postoperative complications of XP group and FY group were recorded and compared with the aesthetic effect satisfaction of XP group and FY group. RESULTS There was no statistical significant difference in tumor size,diseased side,age and gender between XP group and FY group(P<0.05). The operation time of XP group was longer than that of FY group,the intraoperative blood volume was more than that of FY group,the extubation time was longer and higher than that of FY group,the operation flow was statistically significantly higher than that of FY group,and the time ratio of operation related indexes of XP group and FY group was significantly different(tsurgical time=2.021,tsurgical bleading volume=3.714,tpull-out time=2.534,tsurgical induced flow rate=2.104,P<0.05). There were 7 less patients with mild pain and 4 more patients with moderate pain in XP group than in FY group. There was 1 different case in severe pain and 2 different cases in severe pain in XP group and FY group. There was no statistical. significant difference between the two groups(P>0.05). There were 1 more cases of salivary fistula in XP group than in FY group,no infection in FY group,1 in XP group,4 more cases of facial nerve necrosis in XP group than in FY group,and 2 more cases of Frey syndrome in XP group. The incidence of adverse reactions in XP group was 36.6% higher than that in FY group (χ^(2)=4.034,P<0.05). The aesthetic effect of XP group was 15 less than that of FY group,9 more than FY group,7 more than FY group,76.7% of XP group was significantly lower than FY group (χ^(2)=4.025,P<0.05). CONCLUSION Negative pressure drainage of scalp opening in parotid gland surgery had a better cosmetic effect,and the postoperative pain was less,the incidence of adverse reactions was also significantly reduced.
作者
文世生
郭雯瑾
杨明
WEN Shi-sheng;GUO Wen-jin;YANG Ming(The First People's Hospital of Jiayuguan,Jiayuguan,Cansu,735100,China)
出处
《中国初级卫生保健》
2021年第6期92-94,共3页
Chinese Primary Health Care
关键词
腮腺良性肿瘤
美容效果
负压引流
benign parotid gland tumor
cosmetic effect
negative pressure drainage
