腮腺美容切口治疗腮腺肿瘤临床效果探讨
来源:用户上传
作者:张文忠 张思庆 朱学芬 魏明勇
[摘要]目的：探究腮腺美容切口治腮腺肿瘤的临床效果。方法：选取2017年1月-2020年2月笔者医院收治的106例腮腺肿瘤患者为研究对象。根据随机数字表法分为观察组（52例）和对照组（54例），对照组采用传统S形切口入路切除术，观察组采用V形切口入路切除术。观察两组手术效果、美学效果、面神经功能、生活质量及并发症情况。结果：观察组手术时间、切口长度、住院时间均短于对照组，术中出血量、术后引流量低于对照组（P<0.05）;观察组术后用温哥华瘢痕量表与患者和观测者瘢痕评价量表评分低于对照组（P<0.05），差异有统计学意义。观察组术后H-B面神经功能评分高于对照组;观察组术后生活质量评分高于对照组，差异均有统计学意义（均P<0.05）。与对照组比较，观察组口干、面部凹陷畸形、Frey's 综合征、暂时性面瘫及术区麻木发生率均较低，差异有统计学意义（P<0.05）。结论：V形切口入路治疗腮腺肿瘤的疗效、美学效果及面神经功能较传统S形切口入路好，有利于提高患者生活质量，改善术后并发症发生情况。
[关键词]V形切口;传统S形切口;腮腺肿瘤;美学效果;面神经功能;并发症
[中图分类号]R739.81 [文献标志码]A [文章编号]1008-6455（2022）03-0083-04
Clinical Effect of Parotid Gland Cosmetic Incision in the Treatment of Parotid
Gland Tumor
ZHANG Wenzhong，ZHANG Siqing，ZHU Xuefen，WEI Mingyong
（Department of Oral and Maxillofacial Surgery， Affiliated Hospital of Jining Medical College， Jining 272000，Shandong，China）
Abstract： Objective To explore the clinical effect of parotid gland cosmetic incision in the treatment of parotid gland tumor. Methods A total of 106 patients with parotid gland tumors admitted to our hospital from January 2017 to February 2020 were selected. According to the random number table method， they were divided into observation group （52 cases） and control group （54 cases）. The control group received traditional S-shaped incision resection， and the observation group received V-shaped incision resection. Surgical effect， aesthetic effect， facial nerve function， quality of life and complications of the two groups were observed. Results Operation time， incision length， and hospital stay in the observation group were shorter than those in the control group， and the blood loss and postoperative drainage volume in the observation group were lower than those in the control group （P<0.05）.The scores of the Vancouver Scar Scale and the Scar Evaluation Scale of patients and observers were lower in the observation group on than in the control group （P<0.05）. The H-B Facial Nerve Function Grading Scale scores in the observation group were higher than those in the control group （P<0.05）. The postoperative quality of life score of the observation group was higher than that of the control group （P<0.05）. Compared with the control group， the observation group had a lower incidence of dry mouth， facial sunken deformity， Frey's syndrome， temporary facial paralysis， and numbness in the operation area （P<0.05）. Conclusion The efficacy， the aesthetic effect and the facial nerve function of the V-shaped incision approach are better than those of the traditional S-shaped incision approach in the treatment of parotid gland tumors， which is beneficial to improve their quality of life and postoperative complications.
nlc202205051605
转载注明来源:https://www.xzbu.com/6/view-15430246.htm
