保留知名血管的颌下腺切除术临床比较研究

Excision of submandibular gland reserving the facial artery and vein and itsapplication.

目的 探讨颌下腺良性病变手术保留或切除颌外动脉、面前静脉对患者术后的影响。方法 临床选择诊断为颌下腺良性肿瘤或慢性颌下腺炎的患者 2 6例 ,将其分为两组。Ⅰ组 :保留颌外动脉、面前静脉 ;Ⅱ组 :切除颌外动脉、面前静脉。其中Ⅰ组为 14例 ,Ⅱ组为 12例。临床观察、比较两组术后体温 ,局部组织反应 ,疼痛程度 ,创口愈合时间 ,平均术后住院天数。结果 Ⅰ组术后体温低于Ⅱ组 ,局部组织和全身反应明显轻于Ⅱ组 ,且创口愈合时间及平均术后住院天数均少于Ⅱ组。结论 颌下腺手术保留颌外动脉、面前静脉有利于患者术后康复。

Objective To evaluate the difference between reserving facial artery and vein and not reserving them which have influenced over patient underwent submandibular gland excision. Methods There are 26 cases who were diagnosed benign neoplasia, sialoadenitis and sialolith. Of all 26 cases, 14 cases were choosed randomly as experimental group( Ⅰ Group). The rest of 12 cases were as control group (Ⅱ Group). Ⅰ Group were underwent the submandibular gland excision which reserving the facial artery and vein. Ⅱ Group did not reserve facial artery and vein which had been broken and ligature. These 2 group cases' temprature, local historical reaction, pain level, healing period, average hospitalization time were examined after operation. Results Ⅰ Group cases' temprature were lower than Ⅱ Group's. Ⅰ Group's local and general recation were lighter than Ⅱ Group's. Conclusion Reserving facial artery and vein are helpful to patient's recovery after excision of submandibular gland.