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目的回顾分析不同术式对腮腺良性肿瘤术后持续加压包扎预防涎瘘的时间的影响。方法选取我院我科收治的行腮腺良性肿瘤手术的患者108例,随机分为A,B组,A组作为对照组,采用传统腮腺叶切除术,B组采用改良腮腺叶部分切除术。每组平分为两组术后分别给予绷带持续加压包扎3d,7d,统计各组(A3组,A7组,B3组,B7组)术后涎瘘发生率。结果 A组中发生涎瘘9例(A3组8例,A7组1例),发生率为16.7%;B组中发生涎瘘10例(B3组9例,B7组1例),发生率为18.5%.A,B两组比较,差异无显著性(P>0.05);包扎7d组(A7组+B7组)涎瘘发生率3.7%,包扎3d组(A3组+B3组)涎瘘发生率31.7%,差异非常显著(P<0.01)。结论对于腮腺良性肿瘤,腮腺叶切除术与腮腺叶部分切除术术后加压包扎7d可有效预防涎瘘。
Objective To retrospectively analyze the effect of different surgical procedures on the time of sustained pressure banding for preventing salivary fistula after benign parotid tumor surgery. Methods A total of 108 patients with benign parotidectomy treated in our department were randomly divided into A and B groups. A group served as the control group. Conventional parotid lobectomy was performed. B group was treated with modified parotid partial lobectomy. Each group was equally divided into two groups. The patients were given bandages for 3 days and 7 days respectively. The incidences of postoperative salivary fistula were calculated in each group (groups A3, A7, B3, B7). Results 9 cases of salivary fistula occurred in group A (8 cases in group A3 and 1 case in group A7), the incidence rate was 16.7%. In group B, 10 cases were salivary fistula (group B3, n = 9, group B7) 18.5%. There was no significant difference between A and B groups (P> 0.05). The incidence of salivary fistula in group A7 and group B7 was 3.7% Rate of 31.7%, the difference was significant (P <0.01). Conclusion For parotid benign tumors, parotid gland lobectomy and partial parotid gland partial resection postoperative pressure dressing 7d effectively prevent salivary fistula.