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目的:比较经典腮腺浅叶切除术式与功能性腺体切除术式的并发症情况,为临床选择术式提供依据。方法:随访2000～2008年间,选择经典腮腺浅叶切除术式病例120例,功能性腺体切除术式病例80例,对术后效果及并发症进行对比研究。结果:功能性腺体切除术,术后暂时性面瘫发生率,积液、涎漏发生率,面部瘢痕及凹陷畸形程度等均较经典腮腺浅叶切除术者轻,发生率亦低。结论:对于较小的腮腺浅叶良性肿瘤,应首选功能性腺体及肿瘤切除术术式。
OBJECTIVE: To compare the complications of classical parotidectomy and functional gland excision for the clinical choice of surgical procedures. Methods: From 2000 to 2008, 120 cases of classic parotidectomy and 80 cases of functional gland resection were selected. The postoperative effects and complication were compared. Results: The incidence of functional gland resection, postoperative temporary facial palsy, effusion, salivary leakage, facial scar and sagittal deformity were lower than those of the classic parotidectomy and the incidence was also low. Conclusion: For the smaller parotid benign tumors, functional gland and tumor resection should be the first choice.