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目的比较超声刀在开放腮腺手术与传统腮腺手术中的优缺点。方法超声刀行开放腮腺手术为治疗组,同期传统手术为对照组,均由同一组医师施行。分别比较两组手术时间、术中出血量、术后引流量和术后并发症等指标。结果两组患者性别(χ2=1.558,P=0.212)、平均年龄(t=-1.118,P=0.268)、病理类型(χ2=0.002,P=0.967)及肿瘤大小(t=1.781,P=0.080)的差异均无统计学意义。在相同术式中治疗组的手术时间、术中出血量均小于对照组,差异有统计学意义,两组术后引流量差异无统计学意义。术后治疗组1例暂时性面神经麻痹,对照组1例腮腺涎漏。结论用超声刀行开放腮腺手术要优于传统方法手术,但不可盲目使用超声刀,应该与丝线结扎等传统手术方法相结合。
Objective To compare the advantages and disadvantages of ultrasonic knife in open parotid surgery and traditional parotid surgery. Methods The operation of open parotid gingival surgery was treated by ultrasonic knife, while the traditional surgery was the control group in the same period, all performed by the same group of physicians. The operation time, intraoperative blood loss, postoperative drainage volume and postoperative complications were compared between the two groups respectively. Results The average age (t = -1.118, P = 0.268), pathological type (χ2 = 0.002, P = 0.967) and tumor size (t = 1.781, P = 0.080) ) Had no statistical significance. In the same operation, the operation time and blood loss in the treatment group were less than those in the control group, the difference was statistically significant. There was no significant difference in postoperative drainage between the two groups. One patient had transient facial paralysis in the postoperative treatment group and one patient had parotid gland leakage in the control group. Conclusion Opened the parotid gingival surgeries with ultrasonic knife is superior to the traditional method, but can not blindly use the ultrasonic knife, it should be combined with the traditional surgical methods such as silk ligation.