改良耳屏切口在腮腺区域性切除术中的应用

目的：在腮腺上份肿物的区域性腺体切除术中,采用改良耳屏切口,行肿物及周围腺体切除,并与常规切口比较,评价治疗效果。方法：腮腺上份肿物患者32例,随机分为两组,第一组应用改良耳屏切口,第二组采用常规耳前颌后＂S＂形切口,进行肿物及区域性腺体切除术,解剖并保留相关的面神经分支。术后比较两组患者组织反应程度、面神经功能、Frey综合征、肿瘤复发率、面部美观、病人满意度,综合评价治疗效果。结果：改良耳屏切口组术后渗出少,局部肿胀轻,疤痕隐蔽,Frey综合征发生率低,病人满意率高,上述指标均有统计学差异（P〈0.05）。两组患者肿瘤复发率、面神经功能障碍、涎瘘发生率无明显差别（P〉0.05）。结论：改良耳屏切口创伤小,并发症低于传统术式,疤痕隐蔽,术后颜面美容效果理想。

A study of improvement intra-antilobium incision in parotid gland surgery

Objective： To analyze clinically two methods of incision in patients who had undergone regional parotidectomy for improving cosmetic results. Methods： There were 32 cases of parotid gland tumor in the patients, those divided into two groups randomly. All patients were performed partly parotidectomy with intra-antilobium incision in group one and routine ＂S＂ -shape incision in group two respectively. Follow-up was carried out from 1week to 2years post operation to observe the treatment result. Results： There were less tissue reaction, less time of recovery, less scar and more beautiful outlook and more satiafaction in group one than those in group two （P0.05） . There was no difference on relapse rate and incidence of partial facial nerve injury among two groups （P0.05） . Conclusion： The trauma and some post complications were reduced in the new technique. This surgical approach presented could achieve a better facial cosmetic result in the parotid gland surgery.