耳垂下小切口腮腺良性肿瘤切除术的疗效及安全性

Efficacy and safety of surgical resection of parotid benign tumor with small incision under earlobe

目的研究耳垂下小切口腮腺良性肿瘤切除术的疗效及安全性。方法抽取2015年1月至2018年12月84例在河南科技大学第二附属医院治疗的腮腺良性肿瘤患者,按随机数表法随机分为观察组与对照组,每组42例。观察组采用耳垂下小切口手术方法,对照组采用传统手术方法。比较两组患者手术指标、并发症情况。结果术后,观察组手术时间、住院时间、切口长度、术中出血量及术后引流总量优于对照组,差异有统计学意义(P<0.05);观察组口干、暂时性面瘫、味觉性出汗综合征、凹陷畸形及术区麻木的发生率低于对照组,差异有统计学意义(P<0.05);两组患者涎瘘发生率比较,差异未见统计学意义(P>0.05)。结论耳垂下小切口腮腺良性肿瘤切除术与传统手术方法比较伤口小,且并发症少。

Objective To study the efficacy and safety of surgical resection of parotid benign tumor with small incision under earlobe.Methods A total of 84 cases of parotid benign tumor treated in the Second Affiliated Hospital of Henan University of Science and Technology from January 2015 to December 2018. The patients were divided into observation group and control group according to random number table method, with 42 cases in each group. The observation group was treated with small-incision tumor resection under earlobe, while the control group was treated with traditional operation. The operative indexes, complications were compared between the two groups.Results After operation, the observation group were superior to the control group in operation time, hospitalization time, incision length, intraoperative blood loss and total postoperative drainage, the differences were significant (P<0.05). The incidence of dry mouth, temporary facial paralysis, taste sweating syndrome, depression deformity and numbness in the operation area in the observation group were significantly lower than those in the control group (P<0.05). There was no statistical difference in the incidence of saliva fistula between the two groups (P>0.05).Conclusions Compared to conventional surgery, parotid benign tumor resection has small incision under earlobe and less complication.