区域性切除术与腺体浅叶切除术治疗腮腺浅叶良性肿瘤的比较研究

Retrospective Study on Regional Resection and Superficial Resection for Treatment of Benign Tumor in Parotid Gland Shallow Leaves

目的:比较区域性切除术与传统腺体浅叶切除术治疗腮腺浅叶良性肿瘤术中各项参数与术后并发症发生率为临床合理选择术式提供依据。方法:选择腮腺浅叶良性肿瘤患者196例。其中102例采用区域性切除术,94例采用腺体浅叶及肿物切除术,随访1～3年,2组参数比较。结果:手术切口长度、手术时间、术后Frey's综合征、腺体功能、涎瘘与积涎、耳周皮肤麻木、面瘫等方面区域性切除组优于浅叶切除组,术后复发、术中失血量无明显差异。结论:区域性切除术治疗腮腺浅叶良性肿瘤明显优于浅叶切除术。

Objective： To compare the parameters and the intraoperative complication rates between regional resec tion and superficial resection for treating the superfcial parotid gland benign tumor, and to provide the basis for clin ical rational selection procedures. Methods： We screened 196 Patients whoes benign tumor was in superfcial parotid gland, including 102 cases by the regional resection and 94 cases by the superficial resection, and payed a return visit for 1--3 years to compare the two group＇s parameters. Results： Compareing regional resection and superficial resection, regional resection is better in Incision length, Operation time, Frey＇s syndrome, Gland function, Fistula product saliary, Ear and temporal numb and Facial paralysis, but there is no difference in Recurrence rate and Blood lossing. Conclusion： Regional resection is better than superficial resection for treatment in the superfcial parotid gland benign tumor.