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目的探讨治疗腮腺浅叶良性肿瘤的理想手术方式。方法根据术式将2010年3月~2012年9月本院收治的149例腮腺浅叶良性肿瘤患者分为对照组(72例)与观察组(77例),对照组患者接受腮腺浅叶全切术治疗,观察组患者采用保留部分腮腺浅叶腺体的腮腺浅叶次全切术治疗,所有患者在术后接受12个月的随访。结果①两组患者手术时间、术中出血量相比差异无统计学意义(P>0.05)。观察组手术切口长度、面部凹陷程度显著低于对照组,两组比较差异有统计学意义(P<0.05)。②观察组术后并发症发生率显著低于对照组,腮腺功能保留率显著高于对照组,两组比较差异有统计学意义(P<0.05)。③两组患者随访期复发率相比差异无统计学意义(P>0.05)。结论与腮腺浅叶全切术相比,腮腺浅叶次全切术具有降低患者的手术创伤、保留患者腮腺功能、术后并发症发生率等优点,值得临床推广与应用。
Objective To explore the ideal surgical treatment of benign parotid gland tumors. Methods One hundred and ninety-nine patients with benign parotid gland tumors treated in our hospital from March 2010 to September 2012 were divided into control group (n = 72) and observation group (n = 77) according to the surgical procedure. Patients in the control group received parotid glandular lobe The patients in the observation group were treated with sub-total parotid subtotal excision of the parotid gland, which retained some parotid glands. All patients underwent 12-month follow-up. Results ① There was no significant difference in operative time and blood loss between two groups (P> 0.05). The length of surgical incision and facial depression in the observation group were significantly lower than those in the control group, with significant difference between the two groups (P <0.05). ② The incidence of postoperative complications in the observation group was significantly lower than that in the control group, and the retention rate of the parotid gland was significantly higher than that in the control group. There was significant difference between the two groups (P <0.05). ③ There was no significant difference in the recurrence rate between the two groups (P> 0.05). Conclusions Compared with the superficial parotidectomy, the subtotal parotidectomy of parotid gland has the advantages of reducing the surgical trauma, preserving the parotid function and the incidence of postoperative complications in patients. It is worthy of clinical promotion and application.