文章摘要
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,2012,(9):1307~1310
耳屏前切口在腮腺上极良性肿物切除中的应用
The use of the incision before tragus in regional parotidectomy
投稿时间:2012-05-03  
DOI:10.7655
中文关键词: 良性肿物  腮腺  手术切口  创伤  并发症
英文关键词: benign tumor  parotid gland  surgical incision  trauma  complication
基金项目:江苏省高校优势学科建设工程资助项目(2011-137)
作者单位
俞辉明 南京医科大学附属淮安第一医院口腔科,江苏 淮安 223300 
房 进 南京医科大学附属淮安第一医院口腔科,江苏 淮安 223300 
吴煜农 南京医科大学附属口腔医院口腔颌面外科,江苏 南京 210029 
施卫兵 高邮市人民医院口腔科,江苏 高邮 225600 
摘要点击次数: 926
全文下载次数: 701
中文摘要:
      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?
英文摘要:
      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.
查看全文   查看/发表评论  下载PDF阅读器
关闭