论文部分内容阅读
目的:对腮腺上极良性肿物采用耳屏前切口,行肿物及周围腺体的区域切除术,与常规“S”切口行同样术式比较,观察治疗效果。方法:腮腺上极肿物患者40例,随机分为两组:实验组采用耳屏前切口,对照组采用耳前-颌后-颌下“S”形切口,均行肿物及区域性腺体切除术,解剖并保留相关的面神经、耳大神经分支。术后比较两组患者的手术时间、组织反应程度、耳大神经功能、面神经功能、Frey’s综合征、肿瘤复发率、涎瘘发生率、面部外形、患者满意度,综合评价治疗效果。结果:耳屏前切口组手术时间短、术后渗出少,局部肿胀轻,瘢痕隐蔽,Frey’s综合征发生率低,耳大神经功能障碍轻,患者满意率高,上述指标均有统计学差异(P<0.05)。两组患者肿瘤复发率、面神经功能障碍、涎瘘发生率无明显差别(P>0.05)。结论:耳屏前切口入路切口短、创伤小、瘢痕隐蔽、对容貌影响小、节省手术时间、并发症低于传统术式。
OBJECTIVE: To observe the effect of trabeculectomy and regional gland excision by using anterior trabeculectomy on the parotid gland with the most benign tumor and the same surgical procedure as conventional “S” incision. Methods: Forty patients with parotid gland tumor were divided into two groups at random: the experimental group was treated with tragus and the control group with anterior - maxillary posterior - submandibular and “S” shaped incision. Gonadectomy, anatomy and retain the relevant facial nerve, large auricular branch. Postoperatively, the operative time, the degree of tissue reaction, the function of the otolaryngology, facial nerve function, Frey’s syndrome, tumor recurrence rate, the incidence of salivary fistula, facial shape and patient satisfaction were compared between the two groups. The therapeutic effect was evaluated comprehensively. Results: The pretraumatic incision group had shorter operative time, less postoperative exudation, less local swelling, hidden scar, lower incidence of Frey’s syndrome, less loss of auricular neuropathy, and higher satisfaction rate of patients with the above indexes (P <0.05). There was no significant difference in the incidence of tumor recurrence, facial nerve dysfunction and salivary fistula between the two groups (P> 0.05). Conclusion: The incision of trabeculectomy is short, the incision is small, the scar is hidden, the impact on the face is small, the operation time is saved, the complication is lower than the traditional operation.