本文關(guān)鍵詞：全腔鏡下經(jīng)鎖骨下徑路頜下腺腺葉切除　出處：《臨床耳鼻咽喉頭頸外科雜志》2016年06期 　論文類型：期刊論文

  更多相關(guān)文章： 腔鏡微創(chuàng) 頜下腺疾病

【摘要】：目的:探討全腔鏡下經(jīng)鎖骨下徑路頜下腺腺葉切除術(shù)的可行性及其療效。方法:回顧性分析28例腔鏡下經(jīng)鎖骨下徑路頜下腺切除術(shù)患者的臨床資料,其中多形性腺瘤14例,頜下腺慢性炎癥10例,頜下腺結(jié)石3例,淋巴上皮囊腫1例,所有病例術(shù)前經(jīng)影像學(xué)、三維超聲學(xué)評(píng)估。結(jié)果:所有患者均于全腔鏡下完全切除頜下腺和腫瘤,無一例中轉(zhuǎn)開放手術(shù),無明顯手術(shù)并發(fā)癥,術(shù)后美觀效果好,患者滿意度高,多形性腺瘤患者術(shù)后隨訪時(shí)間4~24個(gè)月,未見復(fù)發(fā)。結(jié)論:全腔鏡下經(jīng)鎖骨下徑路頜下腺切除術(shù)是安全可行的,且具有良好的美容效果。
[Abstract]:Objective: to investigate the feasibility and curative effect of subclavian subclavian approach for submandibular gland lobectomy. Methods: the clinical data of 28 patients undergoing endoscopic subclavian subclavian submandibular adenectomy were retrospectively analyzed. 14 cases of pleomorphic adenoma, 10 cases of chronic inflammation of submandibular gland, 3 cases of submandibular gland stone and 1 case of lymphoepithelial cyst. Results: all the patients underwent complete resection of submandibular gland and tumor under full laparoscopy, no cases were converted to open surgery, there were no obvious surgical complications, good postoperative aesthetic effect and high patient satisfaction. The follow-up time of the patients with pleomorphic adenoma was 4 ~ 24 months, and no recurrence was found. Conclusion: subclavian subclavian submandibular adenectomy is safe and feasible, and has good cosmetic effect.
【作者單位】： 婁底市中心醫(yī)院耳鼻咽喉頭頸外科;中南大學(xué)湘雅醫(yī)院耳鼻咽喉頭頸外科;
【基金】：湖南省衛(wèi)生計(jì)生委2015年度科研計(jì)劃項(xiàng)目(No:B2015-183)
【分類號(hào)】：R739.8
【正文快照】： 腔鏡已在腹腔、乳腺、甲狀腺等外科手術(shù)中廣泛應(yīng)用,因其術(shù)野清晰,術(shù)中出血少,腹部、胸部、頸部無明顯疤痕受到廣泛的追捧。傳統(tǒng)頜下腺手術(shù)頸部有明顯疤痕,給患者帶來困擾,2002年Mon-fared等〔1〕在豬模型上成功施行全腔鏡下頜下腺切除術(shù),認(rèn)為該術(shù)式切實(shí)可行。不過此后國內(nèi)外尚，

本文編號(hào)：1357754