超声刀在腮腺浅叶肿瘤改良术中的临床应用

The clinical effects of harmonic scalpel for reformatory parotidectomy

目的:探讨超声刀在腮腺浅叶肿瘤改良手术中的应用价值。方法:纳入腮腺浅叶肿瘤手术74例,其中应用超声刀行腮腺耳后小切口手术的患者为36例,应用传统电刀手术的患者38例,分别对手术切口、手术时间、出血量、术后引流量、住院时间及术后并发症(面瘫、涎瘘等)等指标进行统计分析。结果:74例手术均顺利完成,与传统组对比超声刀组在切口长度、手术时间、手术出血量、术后引流量有统计学差异(P<0.05),而住院时间与术后并发症无明显统计学差异。结论:在腮腺浅叶手术中应用超声刀与传统电刀相比既能使切口隐蔽美观又简单高效。

Objective: To study the clinical effects of harmonic scalpel for reformatory parotidectomy. Methods: 74 patients with parotid tumor were divided into harmonic scalpel group and traditional electrosurgical group.The operative incision, operation time,blood loss,postoperative drainage,hospitalization duration and postoperative complications were compared between the 2 groups. Results: All patients were operated successfully, The operative time,blood loss,incision length and postoperative drainage of patients treated with harmonic scalpel and postauricular incision were significantly improved than those treated wtih the electrosurgical(P<0.05).The hospitolazation duration and postoperative complications were not different between the 2 groups. Conclusion: Parotidectomy assisted by harmonic scalpel is superior to conventional surgery for postoperative cosmetic and functional outcomes.