完整保留腮腺筋膜预防味觉出汗综合征的临床研究

Clinical study on the prevention of the syndrome of taste and sweat in the intact reserved parotid fascia

目的:探讨在腮腺良性肿瘤手术中保留腮腺筋膜预防腮腺切除术后味觉出汗综合症的效果。方法:对100例腮腺良性肿瘤患者行肿切除术,实验组68例保留了腮腺筋膜,对照组32例不保留了腮腺筋膜,术后随访15d^6个月。结果:实验组味觉出汗综合征的主观评价发生率为4.4%,客观评价发生率为5.7%;对照组味觉出汗综合征的主观评价发生率为53%,客观评价发生率为63%。结论:完整保留腮腺筋膜对减少腮腺良性肿瘤手术后味觉出汗综合征的发生有明显效果。

Objective To evaluate reteintion parotiodomasseteric fascis in prevention of gustatory sweating syndrome after parotid benign tumor surgery. Methods 100 patients who suffered from tumor,while experimental group of 68 patients retained the parotid fascia and control group of 32 patients didn＇t retain,were followed up for half to six months. Results Subjective evaluation incidence of Frey syndrome of experimental group was 4.4%and objectively evaluation incidence was 5.7%.Subjective evaluation incidence of Frey syndrome of control group was 53% and objectively evaluation incidence was 63%. Conclusion Reserve and reconstruct the parotidomasseteric fascis when resecting paritod might be very helpful to prevent gustatory sweating syndrome.