摘要
目的比较隐蔽切口和常规耳下颈部切口在良性腮腺肿瘤切除术中的应用效果。方法回顾性分析2019年1月至2022年1月该院收治的143例良性腮腺肿瘤患者的临床资料,根据治疗方式将患者分为对照组(120例)和观察组(23例)。对照组为常规耳下颈部切口手术,观察组为隐蔽切口手术。比较两组手术指标、肿瘤复发率、生活质量评分、不良反应。结果观察组手术时间、术中出血量、术后48 h引流量均低于对照组,差异均有统计学意义(P<0.05);观察组疼痛、情绪、美容效果评分均高于对照组,差异均有统计学意义(P<0.05);对照组不良反应发生率为31.67%,高于观察组的8.70%,差异有统计学意义(P<0.05);对照组复发率与观察组比较,差异无统计学意义(P>0.05)。结论与常规耳下颈部切口相比,隐蔽切口行良性腮腺肿瘤切除术可缩短手术时间、减少术中出血量及术后引流量,提高患者生活质量,降低不良反应发生率,值得临床推广应用。
Objective To compare the application effect of hidden incision and conventional subauricular neck incision in the resection of benign parotid tumors.Methods The clinical data of 143 patients with benign parotid tumors admitted to the hospital from January 2019 to January 2022 were retrospectively analyzed.According to the treatment methods,the patients were divided into control group(120 cases)and observation group(23 cases).The control group was operated with routine subauricular neck incision,and the observation group was operated with hidden incision.The surgical indicators,tumor recurrence rate,quality of life score,and adverse reactions were compared between the two groups.Results The operation time,intraoperative blood loss and drainage volume of 48 hours after operation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of pain,emotion and cosmetic effect in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The incidence of adverse reactions in the control group was 31.67%,which was higher than 8.70%in the observation group,and the difference was statistically significant(P<0.05).There was no significant difference in the recurrence rate between the control group and the observation group(P>0.05).Conclusion Compared with the conventional subauricular neck incision,the concealed incision for benign parotid tumor resection can shorten the operation time,reduce intraoperative blood loss,postoperative drainage,improve the quality of life of patients,reduce the incidence of adverse reactions,and is worthy of clinical application.
作者
程卫
戚新春
李阳
宋卫琪
梁秦龙
CHENG Wei;QI Xinchun;LI Yang;SONG Weiqi;LIANG Qinlong(Department of Head and Neck Surgery,Shaanxi Provincial Cancer Hospital,Xi'an,Shaanxi 710061,China)
出处
《检验医学与临床》
CAS
2023年第23期3469-3471,3476,共4页
Laboratory Medicine and Clinic
关键词
良性腮腺肿瘤
切除术
隐蔽切口
耳下颈部切口
benign parotid gland tumor
resection
concealed incision
subauricular neck incision
