本文關(guān)鍵詞：腮腺淺葉部分切除術(shù)與腮腺淺葉切除術(shù)術(shù)后腮腺吸收和分泌功能的比較　出處：《廣西醫(yī)科大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 腮腺 腮腺切除術(shù) 唾液腺顯像 多形性腺瘤 功能外科

【摘要】：目的：比較腮腺淺葉部分切除術(shù)與腮腺淺葉切除術(shù)對(duì)術(shù)后腮腺吸收和分泌功能的影響。方法：前瞻性研究2012年12月至2013年12月四川省腫瘤醫(yī)院術(shù)后診斷為多形性腺瘤患者,根據(jù)患者腫瘤的大小情況,將病人分為腮腺淺葉部分切除術(shù)組(n=33)和腮腺淺葉切除術(shù)組(n=18),采用唾液腺顯像的方法,以正常側(cè)作為對(duì)照,研究?jī)山M患者的術(shù)前患側(cè)腮腺的吸收率和分泌指數(shù),術(shù)后隨訪1年(隨訪分術(shù)后3月,6月,12月,共3次),連續(xù)性比較患側(cè)腮腺的吸收率和分泌指數(shù)。結(jié)果：共有51例患者進(jìn)入該臨床實(shí)驗(yàn),隨訪1年內(nèi),兩組患者均無(wú)復(fù)發(fā)或需要二次手術(shù)病例。經(jīng)過(guò)術(shù)前唾液腺顯像,51例患者,以正常側(cè)腮腺作為對(duì)照,患側(cè)腮腺的吸收率高于正常側(cè)(t=3.675;P=0.011),差異有統(tǒng)計(jì)學(xué)意義；但患側(cè)腮腺與正常側(cè)腮腺的分泌指數(shù)無(wú)統(tǒng)計(jì)學(xué)差異(t=1.968;P=0.052)； 且經(jīng)過(guò)手術(shù)后,所有患者患側(cè)腮腺的吸收率和分泌指數(shù)均低于正常側(cè),差異有統(tǒng)計(jì)學(xué)意義(P0.05)；腮腺淺葉部分切除術(shù)組術(shù)后3月后的吸收率和術(shù)后6月后的分泌指數(shù)均高于腮腺淺葉切除術(shù)組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論：腮腺淺葉部分切除術(shù)在保留患者腮腺吸收與分泌功能方面優(yōu)于腮腺淺葉切除術(shù)。
[Abstract]:Objective: to compare the effects of partial parotidectomy and superficial parotid lobectomy on the absorption and secretion of parotid gland after operation. A prospective study from December 2012 to December 2013 in Sichuan Provincial Cancer Hospital diagnosed as pleomorphic adenoma. According to the tumor size of the patients, the patients were divided into two groups: the superficial parotid lobectomy group and the parotid gland superficial lobectomy group. The salivary gland imaging was performed and the normal side was used as the control. The absorptivity and secretion index of the affected parotid gland in both groups were studied. The patients were followed up for one year (three times: March, June, December). Results: a total of 51 patients were enrolled in the clinical trial and followed up for one year. There were no recurrence or secondary operation cases in both groups. After preoperative salivary gland imaging, the absorptivity of the affected parotid gland was 3.675 higher than that of the normal parotid gland. The difference was statistically significant. However, there was no significant difference in secretory index between the affected parotid gland and the normal parotid gland. P0. 052; After operation, the absorptivity and secretion index of parotid gland in all patients were lower than those in normal side, and the difference was statistically significant (P 0.05). The absorptivity after March and the secretion index after June were higher in the superficial parotid lobectomy group than in the parotid superficial lobectomy group. Conclusion: partial parotidectomy is superior to superficial parotid lobectomy in preserving the function of absorption and secretion of parotid gland.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R739.8

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本文編號(hào)：1415195