摘要
目的比较两种不同手术方式治疗腮腺多形性腺瘤术后的并发症。方法69例腮腺多形性腺瘤患者分为两组,一组采用传统的术式,即保留面神经,肿瘤及腮腺切除术;另一组采取功能性腮腺切除术,即肿瘤及腮腺部分切除术。通过3个月～8年的随访,观察术后味觉出汗综合征(Frey综合征)、涎瘘、面瘫、面部外形及复发等情况。结果传统的术式组,面瘫、Frey综合征和面部外形明显不对称的发生率分别为26.47%、58.82%和17.64%;功能性腮腺切除术组的发生率分别为8.57%、25.71%和2.80%,三种并发症两组间比较有统计学差异(P<0.05),后者术后并发症的发生率明显低于前者。结论功能性腮腺切除术即肿瘤及腮腺部分切除术克服了传统腮腺手术的缺陷,值得临床推广。
OBJECTIVE To compare the complications of two different surgical procedures on pleomorphic adenoma of parotid gland. METHODS Sixty nine patients with pleomorphic adenoma of parotid gland were randomly divided into two groups. One group received conventional operations i.e. excision of tumor with parotidectomy, but facial nerves were reserved. Another group received functional parotidectomy, i.e. tumor removal with partial parotidectomy. Patients were followed up 3 months to 8 years. The Frey＇s syndrome, salivary fistula, facial nerve paralysis, shape of the face were recorded when follow up. RESULTS In the conventional operation group, the occurrence rates of facial paralysis, Fray syndrome and unsymmetrical face were 26.47 %, 58.82 % and 17.64 % respectively, and that in functional parotidectomy group were 8.57 %, 25.71% and 2.8 % respectively. The complications in conventional operation group were much higher than that in functional parotidectomy group （P〈0.05）. CONCLUSION Functional parotidectomy, i.e. tumor removal with partial parotidectomy has less postoperative complications than conventional operation group and it is of valuable in clinical application.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2007年第6期345-347,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
关键词
腮腺
腺瘤
多形性
术后并发症
Parotid Gland
Adenoma, Pleomorphic
Complications, Operative
作者简介
涂晓宁，女，湖北人，医学学士，主治医师，主要从事口腔颌面外科临床工作。Email：baoer1009@yahoo．com．cn
