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【目的】探讨不同组织瓣修复预防腮腺术后Frey综合征的疗效。【方法】50例腮腺良性肿瘤病者随机分成4组,①颈阔肌瓣+胸锁乳突肌瓣组14例,腮腺切除术后颈阔肌瓣+胸锁乳突肌瓣充填腮腺床。②颞顶筋膜瓣组11例,腮腺切除术后用颞顶筋膜瓣充填腮腺床。③腮腺咬肌筋膜瓣组12例,腮腺切除术后用腮腺咬肌筋膜瓣组充填腮腺床。④异体脱细胞真皮基质(ADM)组13例,腮腺切除术后腮腺床植入ADM。与同期行常规腮腺手术未行修复或ADM植入患者25例进行对比,术后1年淀粉碘试验评价Frey综合征。【结果】行组织瓣或ADM修复组Frey综合征发生率明显低于对照组,有统计学意义(P<0.05);各组组织瓣或ADM修复间的Frey综合征发生率无明显差异(P>0.05)。【结论】手术中应用各种组织瓣或ADM修复可有效预防Frey综合征的发生,可以根据临床情况采用不同的方法。
【Objective】 To investigate the effect of different tissue flap repair on prevention of paroxysmal postoperative Frey syndrome. 【Method】 Fifty patients with benign tumor of parotid gland were divided into 4 groups at random. ① The platysma flap and sternocleidomastoid flap group were 14 cases. The parotid gland flap and sternocleidomastoid flap were used to fill the parotid gland bed after parotidectomy. ② In the temporal top fascia flap group, 11 cases were treated with parietal fascial flap filling the parotid gland bed after parotidectomy. ③ parotid muscle fascia flap group of 12 cases, parotid gland muscle fascia flap group after parotidectomy parotid gland bed filling. ④ Allograft dermal matrix (ADM) group of 13 cases, parotid bed after parotidectomy ADM. Compared with 25 cases who underwent routine parotidectomy without repair or ADM implantation in the same period, Frey’s syndrome was evaluated by starch iodine test one year after operation. 【Results】 The incidence of Frey’s syndrome was significantly lower than that of the control group (P <0.05). There was no significant difference in the incidence of Frey’s syndrome > 0.05). 【Conclusion】 The operation of various tissue flap or ADM repair can effectively prevent the occurrence of Frey syndrome, according to the clinical situation using different methods.