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目的:探讨不同切口腮腺肿瘤切除术对良性腮腺肿瘤的术后并发症及对患者生活质量的影响。方法:收取2010年1月至2015年1月间于我院接受改良腮腺肿瘤切除术的良性腮腺肿瘤患者62例作为研究对象进行随机对照试验,平均分为A、B两组,A组采用改良S型切口,B组采用耳后隐蔽切口。对两组围术期指标、术后并发症以及对患者生活质量的影响进行考察与比较。结果:两组患者手术时间、术中出血量、术后引流量以及术后住院时间相较均无显著差异(P>0.05)。A组患者早期并发症发生率为29.03%,远期并发症发生率为25.81%;B组患者早期及远期并发症发生率分别为19.35%及12.90%,两组相较无显著差异(P>0.05)。A组患者术后疼痛及情绪优于术前,外貌、味觉及咀嚼功能均差于术前(P<0.05)。B组患者术后疼痛、情绪均优于术前(P<0.05)。术后A组患者外貌及情绪均不及B组,差异有统计学意义(P<0.05)。结论:耳后隐蔽切口改良腮腺肿瘤切除术对良性腮腺肿瘤患者安全性好,患者生活质量优于改良S型切口腮腺切除,值得临床推广。
OBJECTIVE: To investigate the postoperative complications and quality of life of patients with benign parotid tumors under different incision parotid tumor resection. Methods: Twenty-two patients with benign parotid tumors undergoing modified parotid tumor resection in our hospital from January 2010 to January 2015 were randomly divided into A and B groups. A group was treated with modified S-type incision, B group with the ear hidden incision. The two groups of perioperative indicators, postoperative complications and quality of life of patients were investigated and compared. Results: There was no significant difference in operative time, intraoperative blood loss, postoperative drainage and postoperative hospital stay between the two groups (P> 0.05). The incidence of early complications in group A was 29.03% and the incidence of long-term complications was 25.81%. The incidence of early and long-term complications in group B was 19.35% and 12.90% respectively, with no significant difference between the two groups (P > 0.05). Patients in group A had better postoperative pain and mood than those before operation, appearance, taste and masticatory function (P <0.05). Postoperative pain and mood in group B were better than preoperative (P <0.05). The postoperative appearance and mood of patients in group A were not as good as those in group B, the difference was statistically significant (P <0.05). CONCLUSION: The concealed incision improved parotid gland tumor resection has good safety for patients with benign parotid gland tumor. The quality of life of patients is better than modified S-notch parotid excision, which is worthy of clinical promotion.