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目的探讨腮腺浅叶多形性腺瘤包膜外切除术与浅叶切除术的预后效果。方法收集352例腮腺浅叶多形性腺瘤患者的临床资料,其中行包膜外切除术276例(包膜外切除术组),行浅叶切除术76例(浅叶切除术组),对两组临床资料的一般情况、手术参数及并发症进行统计学分析。结果浅叶切除术组中暂时性面瘫、永久性面瘫、耳垂麻木发生率以及术中出血量均多于包膜外切除术组(P<0.05);两组中一般资料、复发率、包膜破裂发生率、涎瘘发生率、术后住院时间比较差异均无统计学意义(P>0.05)。结论腮腺浅叶多形性腺瘤患者选择包膜外切除术,有助于降低并发症和保留腮腺功能,值得在临床推广。
Objective To investigate the prognostic value of extracapsular excision and light-leaf resection of parotid shallow-leaf pleated adenoma. Methods The clinical data of 352 cases of parotid shallow-leaf pleated adenoma were collected, including 276 cases of extra-capsular excision (extra-capsular excision group) and 76 cases of shallow-leaved excision group Two groups of clinical data of the general situation, surgical parameters and complications for statistical analysis. Results The rates of temporary facial paralysis, permanent facial paralysis, numbness of earlobe, and intraoperative blood loss were significantly higher in the patients with elective lobectomy than those with ectasia (P <0.05). The general data, recurrence rate, The incidence of rupture, the incidence of salivary fistula, and postoperative hospital stay were not significantly different (P> 0.05). Conclusions Extracapsular excision of the parotid glandular pleomorphic adenoma is helpful in reducing complications and preserving parotid gland function, which is worthy of clinical application.