腮腺浅叶良性肿瘤次全切术治疗腮腺浅叶良性肿瘤的临床疗效

doi:10.3969/j.issn.1001-8131.2022.06.008

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (404 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨腮腺浅叶良性肿瘤行次全切术的临床疗效。方法 52例腮腺浅叶良性肿瘤患者随机分为两组,对照组使用腮腺浅叶全切除术,观察组使用腮腺浅叶良性肿瘤次全切术,对比手术指标、并发症情况、面神经损伤、生活质量。结果观察组手术时间、切口长度、术中出血量、解剖面神经分支数、住院时间均少于对照组（P<0.05）;观察组皮下积液或涎瘘、面部凹陷畸形、暂时性面瘫、耳颞神经综合征、耳垂麻木等并发症发生率明显低于对照组（P<0.05）;观察组面神经1度、2度、3度、4度以及总发生率均低于对照组（P<0.05）;观察组术后8个维度的SF-36评分均高于对照组（P<0.05）。结论腮腺浅叶良性肿瘤行次全切术的临床疗效显著,最大限度保留了腮腺组织,避免面神经损伤,降低并发症几率,改善生活质量。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	黄静
	雷建明

关键词 ：腮腺浅叶良性肿瘤, 次全切术, 临床疗效, 并发症, 神经损伤

Abstract：Objective To investigate the clinical effect of subtotal resection of benign tumors in the superficial lobe of parotid gland. Methods 52 patients with benign tumors of superficial parotid gland treated were randomly divided into two groups.The control group was treated with total parotidectomy and the observation group was treated with subtotal parotidectomy.The operation indexes,complications,facial nerve injury and quality of life were compared. Results The operation time,incision length,intraoperative bleeding,anatomical branches of facial nerve and hospital stay in the observation group were less than those in the control group（P<0.05）;The incidence of complications such as subcutaneous effusion or salivary fistula,facial depression deformity,temporary facial paralysis,ototemporal nerve syndrome and earlobe numbness in the observation group was significantly lower than that in the control group（P<0.05）;The degree 1,degree 2,degree 3 and degree 4 of facial nerve and the total incidence in the observation group were lower than those in the control group（P<0.05）;The SF-36 scores of 8 dimensions in the observation group were higher than those in the control group（P<0.05）. Conclusion Subtotal resection of benign tumors in the superficial lobe of parotid gland has significant clinical effect,which can preserve the parotid gland tissue to the greatest extent,avoid facial nerve injury,reduce the probability of complications and improve the quality of life.

Key words： Benign tumor of superficial lobe of parotid gland Subtotal resection Clinical efficacy complication Nerve injury

收稿日期: 2022-05-27

PACS:

R512.1

引用本文:

黄静, 雷建明. 腮腺浅叶良性肿瘤次全切术治疗腮腺浅叶良性肿瘤的临床疗效[J]. 哈尔滨医药, 2022, 42(6): 20-22.
Huang Jing, Lei Jianming. Clinical Efficacy of Subtotal Resection of Benign Tumors in the Superficial Lobe of Parotid Gland in The Treatment of Benign Tumors in the Superficial Lobe of Parotid Gland. journal1, 2022, 42(6): 20-22.

链接本文:

http://www.hrbyybjb.org.cn/CN/10.3969/j.issn.1001-8131.2022.06.008 或 http://www.hrbyybjb.org.cn/CN/Y2022/V42/I6/20

[1] 李晨曦,刘慧,龚忠诚,等.腮腺浅叶部分切除术与传统腮腺浅叶切除术治疗腮腺浅叶良性肿瘤效果的meta分析[J].中国口腔颌面外科杂志,2016,14(3):263-269.
[2] 卢海彬,马雯男,于慧,等.腮腺浅叶部分切除术与浅叶切除术治疗腮腺浅叶良性肿瘤的回顾性研究[J].临床耳鼻咽喉头颈外科杂志,2017,31(12):901-905.
[3] 宫学兵. 传统腮腺浅叶切除术与腮腺区域切除术治疗腮腺区良性肿瘤的效果比较[J].中华养生保健,2022,40(4):1-3.
[4] 韩飞,南杰,康秀水.腮腺浅叶良性肿瘤腮腺浅叶部分切除术疗效分析[J].肿瘤研究与临床,2016,28(11):771-773.
[5] 涂云,王高,蒙玉号,等.腮腺部分切除术与腮腺浅叶切除术治疗腮腺良性肿瘤疗效比较[J].基层医学论坛,2017,21(17):2231-2232.
[6] 吕桂梅. 功能性腮腺切除术治疗腮腺浅叶良性肿瘤的疗效分析[J].河南医学研究,2014,23(5):106-107.
[7] 邝晓岚. 腮腺浅叶良性肿瘤区域切除术治疗腮腺浅叶良性肿瘤的临床疗效[J].实用癌症杂志,2016,31(10):1722-1724.
[8] 蒋璐,罗兴鹏,李培基.用腮腺浅叶良性肿瘤全切术与次全切除术治疗腮腺浅叶良性肿瘤的效果对比[J].当代医药论丛,2017,15(12):37-38.
[9] 李云杉. 腮腺区域切除术与腮腺浅叶切除术治疗腮腺良性肿瘤患者的效果比较[J].中国民康医学,2022,34(4):147-149.
[10] 傅隆生,黄坚槐,林德,等.改良腮腺良性肿瘤切除术治疗腮腺良性肿瘤的临床效果[J].肿瘤基础与临床,2018,31(2):114-117.
[11] 谢丛良,周顺华,刘建明,等.保留部分腮腺浅叶腺体与全切术在腮腺浅叶良性肿瘤治疗中的临床疗效分析[J].中国现代医生,2015,53(8):75-77.
[12] 霍云峰. 改良腮腺浅叶部分切除术治疗63例腮腺良性肿瘤效果分析[J].现代医学与健康研究,2019,3(16):32-33.
[13] 陈学良,曾莉,吴佛金.腮腺部分切除术治疗腮腺浅叶良性肿瘤的效果分析[J].基层医学论坛,2020,24(20):2951-2952.
[14] 胡春梅,何刚,李彬.改良腮腺浅叶部分切除术治疗38例腮腺良性肿瘤临床分析[J].成都医学院学报,2015,10(6):712-174.
[15] 王从庆,孙道成,张于,等.传统腮腺浅叶切除术与腮腺区域切除术治疗腮腺区良性肿瘤的临床效果[J].中外医疗,2020,39(18):17-19.