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目的探讨并比较腮腺浅叶部分切除术与全切术治疗多形性腺瘤临床效果及安全性。方法选取某院收治腮腺多形性腺瘤患者70例,采用随机数字表法分为浅叶全部切除组(35例)和浅叶部分切除组(35例),分别采用腮腺浅叶全切术和腮腺浅叶部分切除术治疗;比较两组患者手术一期愈合率,术后复发率及并发症发生情况等。结果浅叶部分切除组患者手术一期愈合率明显优于浅叶全部切除组(P﹤0.05);两组患者复发率组间比较差异无统计学意义(P﹥0.05);浅叶部分切除组患者并发症发生率均明显低于浅叶全部切除组(P﹤0.05)。结论相对浅叶全切术,浅叶部分切除术治疗腮腺多形性腺瘤具有手术创伤小,并发症出现风险低等优点,具有临床应用价值。
Objective To investigate and compare the clinical efficacy and safety of partial parotidectomy and total excision in the treatment of pleomorphic adenoma. Methods A total of 70 patients with parotid pleomorphic adenoma were selected from a hospital. Random number table was divided into three groups: 35 cases in the group of allotomy and 35 cases of the group of partial lobectomy. Partial parotid gland partial resection treatment; comparison of two groups of patients with primary healing rate, postoperative recurrence rate and complications occurred. Results The rate of primary healed wound healing in the group of partial resection was significantly better than that in the group of resection (P <0.05). There was no significant difference in the recurrence rate between the two groups (P> 0.05) The incidence of patients with complications were significantly lower than those of the resection group (all P <0.05). Conclusions Relatively shallow total hysterectomy and partial lobectomy for the treatment of parotid pleomorphic adenoma have the advantages of less trauma and fewer complications, and have clinical value.