隧道式腮腺浅叶部分切除术在腮腺下极良性肿瘤治疗中的应用

Application of tunnel-type partial superficial parotidectomy in the treatment of benign tumor in the inferior pole of parotid gland

目的:评价隧道式腮腺浅叶部分切除术在腮腺下极良性肿瘤治疗中的应用价值。方法:纳入腮腺下极良性肿瘤患者53例,其中试验组采用隧道式腮腺浅叶部分切除术27例,对照组采用传统腮腺浅叶部分切除术26例。术后随访1~3年,比较两组术后面神经麻痹、Frey综合征、涎瘘、耳周麻木和腮腺区皮肤麻木的发生率。结果:试验组在面神经麻痹、Frey综合征、耳周麻木和腮腺区皮肤麻木等并发症发生率均较对照组低(P<0.05),而涎瘘发生率两组间无统计学差异(P>0.05)。全部患者无肿瘤复发。结论:隧道式腮腺浅叶部分切除术在腮腺下极良性肿瘤治疗中具有更少的术后并发症。

Objective:To observe the efficiency of tunnel-type partial superficial parotidectomy(T-PSP)in the treatment of benign tumor in the inferior pole of parotid gland.Methods:53 patients with benign tumors in the superficial sublobular pole of the parotid gland were included.27 cases were treated with T-PSP(trial group)and 26 with partial superficial parotidectomy(PSP)(control group).The patients were followed up for 1-3 years.The incidence of facial nerve palsy,Frey's syndrome,salivary fistula,periauricular numbness and skin numbness in the parotid area in the 2 groups was compared.Results:Complications such as facial nerve palsy,Frey's syndrome,periauricular numbness and skin numbness in the parotid area were less frequent in the trial group than in the control group(P<0.05),while there was no significant difference in the incidence of salivary fistulae between the 2 groups(P>0.05).No tumor relaps was observed in all cases.Conclusion:T-PSP has fewer postoperative complications in the treatment of benign tumours benign tumor in the inferior pole of parotid gland.