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目的探讨腮腺良性肿瘤切除中胸锁乳突肌皮瓣的应用效果。方法选取腮腺良性肿瘤患者84例,以随机数字表法分成对照组和实验组,各42例。对照组接受常规腮腺切除术治疗,实验组常规切除腮腺病变后,采用胸锁乳突肌皮瓣转移填充术区凹陷行修复治疗。随访6~12个月,对比两组术后并发症发生率和肿瘤复发率。结果实验组术后并发症发生率14.29%,低于对照组的52.38%,差异有统计学意义(P<0.01)。两组肿瘤复发率差异无统计学意义(P>0.05)。结论在腮腺良性肿瘤切除中应用胸锁乳突肌皮瓣修复术区凹陷,可有效降低并发症风险,同时不影响手术效果,值得临床推广。
Objective To investigate the effect of sternocleidomastoid flap in parotid benign tumor resection. Methods Eighty-four patients with benign parotid tumor were selected and randomly divided into control group and experimental group with 42 cases in each group. The control group received routine parotidectomy, and the experimental group was treated with the sagittal sternocleidomastoid flap transfer and filling of the depression area after routine removal of the parotid gland lesions. The patients were followed up for 6 to 12 months. The incidences of postoperative complications and tumor recurrence were compared between the two groups. Results The incidence of postoperative complications in experimental group was 14.29%, which was lower than 52.38% in control group (P <0.01). There was no significant difference in tumor recurrence between the two groups (P> 0.05). Conclusion The application of sternocleidomastoid flap in the resection of parotid benign tumors can reduce the risk of complications without affecting the surgical results and is worthy of clinical promotion.