本文選題：腮腺腫瘤 + 腮腺筋膜　； 參考：《臨床耳鼻咽喉頭頸外科雜志》2017年08期

【摘要】：目的:探討采用保留耳大神經(jīng)束與腮腺筋膜的后徑路腮腺區(qū)域性切除術(shù)治療腮腺良性腫瘤的臨床療效。方法:將112例腮腺良性腫瘤患者隨機(jī)分為對照組和治療組,對照組行保留耳大神經(jīng)與腮腺筋膜的前徑路腮腺區(qū)域性切除術(shù),治療組行保留耳大神經(jīng)束與腮腺筋膜的后徑路腮腺區(qū)域性切除術(shù)。對兩組患者的手術(shù)時間、術(shù)后局部麻木、Frey綜合征、面癱及術(shù)后復(fù)發(fā)情況等臨床數(shù)據(jù)進(jìn)行分析。結(jié)果:兩組術(shù)后復(fù)發(fā)、手術(shù)時間、面癱發(fā)生率比較,差異均無統(tǒng)計學(xué)意義(均P0.05)。但術(shù)后6個月,對照組局部麻木率以及Frey綜合征發(fā)生率更高,差異均有統(tǒng)計學(xué)意義(均P0.05)。結(jié)論:采用保留耳大神經(jīng)束與腮腺筋膜的后徑路腮腺區(qū)域性切除術(shù)能取得與傳統(tǒng)手術(shù)一致的療效,并發(fā)癥少,術(shù)后瘢痕明顯縮小且局部無凹陷畸形,更大程度上符合美容及功能性外科的要求。
[Abstract]:Objective: to investigate the clinical effect of posterior approach parotid gland resection with preserving auricular nerve bundle and parotid fascia in the treatment of parotid benign tumors. Methods: 112 patients with parotid benign tumor were randomly divided into control group and treatment group. The treatment group was treated with posterior approach parotidectomy with preserving the auricular nerve bundle and parotid fascia. The time of operation, postoperative local numbness and Frey syndrome, facial paralysis and recurrence were analyzed. Results: there was no significant difference in recurrence, operation time and incidence of facial paralysis between the two groups (P0.05). However, the incidence of local numbness and Frey syndrome in the control group was significantly higher than that in the control group 6 months after operation (P0.05). Conclusion: regional parotidectomy with preserving the auricular great nerve bundle and parotid fascia can achieve the same curative effect as the traditional operation, with fewer complications, less scar reduction and no local deformity. More in line with the requirements of cosmetic and functional surgery.
【作者單位】： 萍鄉(xiāng)市人民醫(yī)院耳鼻咽喉頭頸外科;萍鄉(xiāng)市人民醫(yī)院口腔頜面外科;
【分類號】：R739.87

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