手术显微镜下解剖面神经行腮腺良性肿瘤切除的临床探讨

Clinical Study on Benign Parotid Tumor Exeision for Facial Nerve Anatomy by Microsurgery

目的:探讨手术显微镜下解剖面神经在腮腺良性肿瘤中的应用及效果。方法:回顾分析2006年1月～2009年6月48例腮腺良性肿瘤手术,在手术显微镜下解剖面神经行腮腺良性肿瘤切除术。结果:48例腮腺良性肿瘤术后4例(8.3%)出现暂时性面瘫,经药物治疗均于1个月内恢复,无永久性面瘫,随访0.5～3年,无一例复发。结论:手术显微镜下解剖面神经行腮腺良性肿瘤切除术,有助于减少术中面神经损伤的概率,减少术后面瘫的发生。

Objective：To discuss the use and results of benign parotid tumor excision for facial nerve anatomy by microsurgery. Methods： This paper is to summarize and analyze retrospectively the clinical experience of 48 cases with benign parotid tumor underwent operation from January. 2006 to June. 2009 . All the patients underwent the superficial parotidectomy for facial nerve anatomy by microsugery. Results： Four of the 48 cases （8.3%） had temporary facial paralysis after operations. And the four patients were recovered in a month after treatment. No permanent facial paralysis occurred in the 48 cases. The patients were followed up for half a year to three years , no one recurrence. Conclusion ： The study indicates that it is helpful to avoid the damages on facial nerve and to excise the parotid tumor, after undergoing superifical parotidectomy for facical nerve anatormy by microsurgery.