应用颌后切口行老年患者腮腺下极肿物切除术

A study of mere post mandible incision in parotid gland surgery of elderly patients

目的:老年患者腮腺下极肿物采用单纯颌后切口,行肿物及区域性腺体切除术,并与传统术式比较,评价治疗效果。方法:老年腮腺下极肿物患者40例,随机分为2组,第一组应用单纯颌后切口,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,解剖并保留面神经颈面干,比较2组患者组织反应程度、面神经功能、肿瘤复发率、面部美观、病人满意度,评价治疗效果。结果:单纯颌后切口术后渗出少,组织反应轻,疤痕不明显,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)。2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:单纯颌后切口创伤小,并发症低于传统术式,术后颜面美容效果更为理想。

Objective： To analyze clinically cosmetic results of two methods of incision in regional parotidectomy. Methods： 40 cases ofparotid gland tumor in the elderly patients were divided into two groups randomly. All patients were performed partly parotidectomy with post madible incision in group one and routine ＂S＂-shape incision in group two respectively. Follow-up was carried out from lweek to 2 years 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（P 〈 0.05）. There was no difference on relapse rate and incidence of partial facial nerve injury between two groups （P 〉 0.05）. 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.