摘要
目的观察治疗腮腺下极良性肿瘤时应用改良腮腺部分切除术和腮腺浅叶切除术的预后效果。方法选取两个医院收治的腮腺下极良性肿瘤患者60例为研究对象,随机数字表法分为改良组与浅叶组各30例,改良组实施改良腮腺部分切除术,浅叶组采取腮腺浅叶切除术,比较两组患者围术期指标与治疗一年后并发症。结果两组患者围术期手术时间比较无统计学意义(P>0.05);术中出血量改良组高于浅叶组,切口长度改良组小于浅叶组,差异有统计学意义(P<0.05);两组治疗一年后并发症比较差异无统计学意义(P>0.05)。结论在治疗腮腺下极良性肿瘤时应用改良腮腺部分切除术和腮腺浅叶切除术的并发症都较低,改良腮腺部分切除术相比腮腺浅叶切除术的术中出血量更高,但切口长度小,预后效果都较好,患者可依据自身情况选择更适合的手术方式。
Objective To observe prognosis of benign parotid perineum tumors treated by modified partial parotidectomy and superficial parotidectomy.Methods 60 patients with benign parotid perineum tumors who were admitted to tow hospitals were enrolled.They were divided into modified group and superficial group by random number table method,30 cases in each group.The modified group underwent modified partial parotidectomy,while superficial group underwent superficial parotidectomy.The perioperative indexes and complications at 1 year after treatment were compared between the two groups.Results There was no significant difference in perioperative operation time between the two groups(P>0.05).The intraoperative blood loss in modified group was more than that in superficial group,while incision length was shorter than that in superficial group(P<0.05).There was no significant difference in complications between the two groups at 1 year after treatment(P>0.05).Conclusion The complications are lower in treatment of benign parotid perineum tumors both treated by modified partial parotidectomy and superficial parotidectomy.The intraoperative blood loss of the former is more,while incision length is shorter.Their prognosis effect is good.Patients can choose a more suitable surgical method according to their own situation.
作者
郭国峰
张嘉庆
杨建斌
Guo Guofeng;Zhang Jiaqing;Yang Jianbin(Department of Stomatology,General Hospital of Hebi Coal Industry(Group)Co.,Ltd,Hebi 458000,China;Oral and Maxillofacial Surgery,First Affiliated Hospital of Xinxiang Medical College,Xinxiang 453000 China)
出处
《哈尔滨医药》
2020年第5期418-419,417,共3页
Harbin Medical Journal
