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目的 :探讨腮腺良性肿瘤术后各类并发症发生的相关因素。方法 :搜集并整理我院2010—2015年手术治疗的215例腮腺良性肿瘤患者的病例资料,回顾分析一般资料、手术治疗中不同因素及术后并发症的发生情况。采用SPSS17.0软件包对资料进行χ~2检验。结果 :术后积涎或涎瘘、面神经功能障碍及Frey综合征的发生与手术治疗中不同因素(手术切口、术中是否缝扎腺体残端、面神经解剖方式、手术切除范围及是否行胸锁乳突肌瓣转移修复等)之间具有显著相关性(P<0.05)。结论:“N”形切口在解剖形态上不利于术后常规引流渗出液,需配合负压引流管,以减少术后积涎的发生。缝扎腺体残端能有效避免术后积涎及涎瘘的发生。顺行法解剖面神经及腮腺肿瘤区域性切除能加快手术速度,减少面神经的解剖量及暴露时间,从而减轻术后面神经功能障碍的发生。胸锁乳突肌瓣的转移修复能很好避免术后Frey综合征的发生。
Objective: To explore the related factors of postoperative complications of parotid benign tumors. Methods: 215 cases of parotid benign tumor who underwent surgery in our hospital during 2010-2015 were collected and analyzed. The general data, the different factors in surgical treatment and the incidence of postoperative complications were retrospectively analyzed. SPSS17.0 software package was used to test χ ~ 2 data. Results: The incidence of salivary or salivary fistula, facial nerve dysfunction and occurrence of Frey’s syndrome were significantly different between the operation and treatment (surgical incision, stitching gland stump, facial nerve anatomy, surgical resection and chest (P <0.05). Conclusion: The “N” shaped incision is not conducive to conventional postoperative drainage drainage, need to cooperate with negative pressure drainage tube to reduce the incidence of postoperative salivation. Stitching the gland stump can effectively avoid postoperative salivation and salivary fistula occurred. Antegrade forelimb dissection and parotid gland tumor regional excision can speed up the operation to reduce the amount of facial nerve anatomy and exposure time, thereby reducing the incidence of facial nerve dysfunction. Sternocleidomastoid flap metastasis repair can be very good to avoid postoperative Frey syndrome.