两种手术方式治疗腮腺浅叶良性肿瘤疗效观察

目的探讨区域性切除术和浅叶切除术治疗腮腺浅叶良性肿瘤的疗效。方法将76例腮腺浅叶良性肿瘤患者随机分为对照组和观察组各38例,对照组采用腮腺浅叶切除术治疗,观察组给予区域性切除术。结果观察组手术时间、术中出血量、切口长度及解剖面神经分支数均明显优于对照组(P<0.05);术后随访6个月～2年,观察组Frey综合征、涎瘘或积涎、耳周皮肤麻木及面部凹陷畸形发生率显著低于对照组(P<0.05)。结论腮腺区域性切除术具有创伤小、并发症少等优势,可作为瘤体较小的浅叶良性肿瘤的首选术式。

Clinical effects of two surgical options on benign tumor in superficial lobe of parotid gland

Objective To explore the clinical effect of regional resection and superficial parotideetomy on benign tumor in superficial lobe of parotid gland. Methods All 76 patients were randomly divided into the control group and observation group, with 38 patients in each group, patients in observation group received regional resection, while patients of control group received superficial parotidectomy. Results In observation group, operating time, surgical incision length and intra- operative anatomical facial nerve branch number were statistically significant difference compare to control group （P 〈 0.05）, follow up 6 months to 2 years, in observation group, frey syndrome, salivary fistula and accumulate salivary, postoperative facial paralysis and facial deformity were lower than control group（P 〈 0.05）. Conclusion Regional resection of parotid gland can protect the main function of parotid gland, had less complications, and be the prime operative method of benign tumor in superficial lobe of parotid gland.