耳屏前切口在腮腺上极良性肿物切除中的应用
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江苏省高校优势学科建设工程资助项目(2011-137)


The use of the incision before tragus in regional parotidectomy
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    摘要:

    目的:对腮腺上极良性肿物采用耳屏前切口,行肿物及周围腺体的区域切除术,与常规“S”切口行同样术式比较,观察治疗效果-方法:腮腺上极肿物患者40例,随机分为两组:实验组采用耳屏前切口,对照组采用耳前-颌后-颌下“S”形切口,均行肿物及区域性腺体切除术,解剖并保留相关的面神经-耳大神经分支-术后比较两组患者的手术时间-组织反应程度-耳大神经功能-面神经功能-Frey’s综合征-肿瘤复发率-涎瘘发生率-面部外形-患者满意度,综合评价治疗效果-结果:耳屏前切口组手术时间短-术后渗出少,局部肿胀轻,瘢痕隐蔽,Frey’s综合征发生率低,耳大神经功能障碍轻,患者满意率高,上述指标均有统计学差异(P < 0.05)-两组患者肿瘤复发率-面神经功能障碍-涎瘘发生率无明显差别(P > 0.05)-结论:耳屏前切口入路切口短-创伤小-瘢痕隐蔽-对容貌影响小-节省手术时间-并发症低于传统术式-

    Abstract:

    Objective:To observe the result of two incisions in patients with benign tumor on the upper part of parotid gland after regional parotidectomy. Methods:Forty cases were divided into two groups randomly. All patients were performed parotidectomy with the incision before tragus in group 1 and routine “S”-shape incision in group 2 respectively. Follow-up was carried out from 1 week to 2 years post operation to observe the treatment result. Results:There were less time of operation,less tissue reaction,less scar,less incidence of Frey’s syndrome and the great auricular nerve dysfunction but more beautiful outlook and more satisfaction in group 1 than those in group 2(P < 0.05). There was no difference on relapse rate and incidence of partial facial nerve injury and salivary fistula among two groups (P > 0.05). Conclusion:The trauma and some postoperation complications were reduced in the new technique. This surgical approach presented could achieve a better facial cosmetic result in the parotid gland surgery.

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俞辉明,房 进,吴煜农,施卫兵.耳屏前切口在腮腺上极良性肿物切除中的应用[J].南京医科大学学报(自然科学版),2012,(9):1307-1310

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  • 收稿日期:2012-05-03
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