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目的:探讨腮腺手术中对面神经的处理方法。方法:收治腮腺肿瘤手术患者10例和20个人体头颅标本,通过对病例资料和头颅标本的研究,观察腮腺手术中对面神经的处理方法。结果:经过对10例病例的观察研究,发现术中面神经损伤率20.0%,术后面神经损伤率60.0%。结论:在为腮腺肿瘤患者进行手术时,如恶性肿瘤已经侵犯面神经或高度可疑侵犯时,应采取面神经切断,如为良性肿瘤且未发生恶变时,术中注意仔细分离每一支面神经,避免损害。
Objective: To explore the treatment of facial nerve in parotid gland. Methods: 10 cases of parotid tumor patients and 20 human skull specimens were collected. The treatment of facial nerve in parotid gland was observed through the study of case data and skull specimens. Results: After 10 cases of observation and study, found that intraoperative facial nerve injury rate of 20.0%, facial nerve injury rate of 60.0%. CONCLUSIONS: Facial paralysis should be performed when malignant tumors have invaded the facial nerve or are highly suspected for malignancy during surgery for patients with parotid gland tumors. In the case of benign tumors and without malignant transformation, careful attention should be paid to the careful separation of each facial nerve to avoid damage .