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目的观察并比较区域性切除术与腮腺腺体浅叶切除术应用于腮腺浅叶良性肿瘤的治疗中的效果及术后并发症的发生情况。方法选择2006年7月—2013年7月期间腮腺浅叶良性肿瘤患者共112例随机分为2组,其中区域组患者行区域性切除术,浅叶组患者行腺体浅叶切除术。结果区域组术中时间(77.16±18.91)min,浅叶组(148.81±51.62)min,区域组较短(P<0.05);区域组术中平均出血量为(36.85±10.14)ml,浅叶组为(71.82±20.76)ml,区域组较少(P<0.05);区域组平均解剖面神经分支数少于浅叶组(P<0.05)。区域组术后并发症的发生明显减少(P<0.05)。结论区域性切除术用于治疗发生在腮腺浅叶内体积相对较小的良性肿瘤,术中时间短,出血量少,术后并发症少,对患者外貌造成的影响小,在诊断明确的前提下可考虑作为首选术式。
Objective To observe and compare the effect of regional resection and parotidectomy on the treatment of benign tumors of the parotid gland and the incidence of postoperative complications. Methods A total of 112 patients with benign lesions of the parotid gland from July 2006 to July 2013 were randomly divided into two groups. The patients in the regional group underwent regional excision, and the patients in the shallow group were treated with light-gland excision. Results The average intraoperative bleeding time was 77.16 ± 18.91 min in the regional group, 148.81 ± 51.62 min in the light group, and 36.85 ± 10.14 ml in the regional group (P <0.05) Group (71.82 ± 20.76) ml, fewer regional group (P <0.05); regional nerve root anatomy group average number of branches less than the group (P <0.05). The incidence of postoperative complications in the regional group was significantly reduced (P <0.05). Conclusions Regional resection is used to treat benign tumors with relatively small volume in the parotid gland. The short operative time, less bleeding, less postoperative complications and less impact on the appearance of the patients, Can be considered as the preferred surgical procedure.