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目的探讨传统腮腺浅叶全切除术与改良腮腺浅叶部分切除术治疗腮腺浅叶良性肿瘤的临床效果。方法选取2014年1月-2016年8月我院收治的35例腮腺浅叶良性肿瘤患者,回顾性分析所有患者的手术资料及术后随访资料,根据手术方法的不同,分为传统术式组(n=17)与改良术式组(n=18)。其中传统术式组采用腮腺浅叶全切除术,改良术式组采用腮腺浅叶部分切除术。比较两组患者手术时间、术中出血量、切口长度、肿瘤复发情况以及面瘫、面部畸形、涎瘘、耳大神经损伤、Frey综合征等术后并发症发生情况。结果传统术式组手术时间、术中出血量、切口长度及各类术后并发症发生率均明显大于改良术式组,两组患者术后肿瘤复发情况比较无明显差异。结论改良腮腺浅叶部分切除术能够缩短手术时间,减少对患者的手术创伤,保留腮腺的功能以及面部组织的完整,极大地减少了面瘫、面部畸形、涎瘘、耳大神经损伤、Frey综合征等术后并发症的发生。
Objective To investigate the clinical effects of total parotidectomy and modified parotid shunt in the treatment of benign parotid gland tumors. Methods From January 2014 to August 2016, 35 patients with benign parotid gland tumors treated in our hospital were retrospectively analyzed. The data of all the patients and the follow-up data were retrospectively analyzed. According to the different surgical methods, the patients were divided into two groups: conventional operation group (n = 17) and modified surgery group (n = 18). Among them, the traditional surgical group adopted the parotidectomy of the parotid gland and the modified surgical group adopted partial parotidectomy of the parotid gland. The operation time, intraoperative blood loss, incision length, recurrence of tumor and complications of facial paralysis, facial deformity, salivary fistula, auricular nerve injury and Frey’s syndrome were compared between the two groups. Results The operation time, intraoperative blood loss, incision length and the incidence of postoperative complications in the traditional surgical group were significantly greater than those in the modified surgical group. There was no significant difference in recurrence between the two groups. Conclusion The modified partial parotidectomy of the parotid gland can shorten the operation time, reduce the surgical trauma to the patient, retain the function of the parotid gland and the integrity of facial tissues, greatly reducing facial paralysis, facial deformity, salivary fistula, auricular nerve injury, Frey’s syndrome Other postoperative complications.