脱细胞异体真皮基质预防味觉性出汗综合征的临床观察

Clinical application of acellular dermal matrix to prevent gustatory sweating syndrome

目的评估脱细胞异体真皮基质口腔组织补片(简称:组织补片)预防腮腺切除术后味觉性出汗综合征的临床疗效。方法选取腮腺切除术患者57例,抽签分为组织补片组(30例)和对照组(27例),评估两组患者术后味觉性出汗综合征的发生情况。结果组织补片组味觉性出汗综合征发生率13.3%(4/30),对照组味觉性出汗综合征发生率55.6%(15/27),两组之间差异有统计学意义(P<0.01)。结论使用组织补片可以有效预防腮腺切除术后味觉性出汗综合征的发生。

Objective To evaluate the clinical effect of acellular dermal matrix （ADM） on preventing Frey syndrome after parotidectomy. Methods Fifty-seven patients were randomized into two groups, ADM group （30 patients）receiving acellular dermal matrix and control group（ 27 patients） without application of acellular dermal matrix. The incidence of Frey syndrome was evaluated after operation. Results The incidences of Frey syndrome were 13.3% in ADM group and 55.6% in control group. There was significant difference in Frey syndrome incidence between the two groups（ P 〈 0.01 ）. Conclusions The application of acellular dermal matrix could effeefly prevent Frey syndrome after parotidectomy.