改良腮腺良性肿瘤切除术治疗腮腺良性肿瘤的临床效果

Clinical Efficacy of Modified Parotid Gland Tumor Resection in the Treatment of Parotid Benign Tumor

目的探讨改良腮腺肿瘤切除术治疗腮腺良性肿瘤的临床效果。方法 60例腮腺良性肿瘤患者按照计算机随机数字分组法随机分为对照组、观察组,每组30例,对照组施行传统腮腺肿瘤切除术,观察组施行改良腮腺肿瘤切除术,比较3组患者的手术时间、术中出血量、切口愈合情况、住院时间、术后并发症发生率、外观美学效果满意度、复发率、生活质量评分。结果 2组手术时间、术中出血量比较差异均无统计学意义(P均>0.05)。观察组的切口愈合时间、住院时间均短于对照组,且其I期甲级愈合率明显高于对照组(P均<0.05)。观察组术后未发生并发症,其并发症发生率为0.00%,明显低于对照组的16.67%(P<0.05)。观察组的外观美学效果满意度为93.33%,明显高于对照组的73.33%(P<0.05)。随访2 a发现,观察组的复发率为6.67%,对照组为3.33%,比较差异无统计学意义(P>0.05)。观察组各个方面的生活质量评分均高于对照组(P均<0.05)。结论采取改良腮腺肿瘤切除术治疗腮腺良性肿瘤,可促进患者切口愈合,减少其术后并发症,提高外观美学效果,有利于改善患者生活质量。

Objective To explore the clinical efficacy of modified parotid gland tumor resection in the treatment of parotid benign tumor. Methods Sixty- eases of parotid benign tumor were randomly divided into the control group and the observation group according to the computer random digital grouping, 30 eases of the control group received con- ventional parotid gland tumor resection, and 30 eases of the observation group received modified parotid gland tumor resection, and the operation time, intraoperative blood loss, healing of incision, length of hospital stay-, postoperative complications, appearance of aesthetic satisfaction, recurrence rate and quality- of life score were compared between the two groups. Results There was no statistical difference in the operation time, intraoperative blood loss between the ob- servation group and the control group （ P 〉 0.05 ）. The incision healing time and hospital stay- in the observation group were shorter than those in the control group, and the phase I first grade healing rate in the observation group was signif- icantly higher than that in the control group （P 〈 0.05）. The incidence of complications was 0.00% in the observa- tion group, and was 16.67% in the control group （P 〈 0.05）. The appearance of aesthetic satisfaction in the observa- tion group was 93.33% , and was 73.33% in the control group （P 〈 0.05）. After 2 years of follow-up, the recurrence rate in the observation group was 6.67%, and was 3.33 % in the control group （P 〉 0.05）. All the aspects of quality of life score in the observation group were higher than those in the control group （ P 〈 0.05 ）. Conclusion Modified parotid gland tumor resection in the treatment of parotid benign tumor reduce the postoperative complications and im- prove the effect of aesthetic appearance, is helpful to improve quality- of life of patients.