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腮腺肿瘤切除术后并发症的临床分析

         

摘要

目的:探讨腮腺肿瘤切除术后并发症发生情况。方法:选取2012年2月到2015年2月75例腮腺肿瘤切除术患者为研究对象,观察其并发症发生情况,总结其危险因素。结果:75例患者中共发生并发症45例,发生率60%,其中暂时性面神经麻痹占9.33%,面部凹陷占10.67%;耳大神经感觉异常发生率13.33%,Frey 综合征发生率为13.33%,和同组其他并发症比较差异有统计学意义(P <0.05)。肿瘤恶性、肿瘤全切、面神经游离、肿瘤位于耳前、手术次数多、术者差异、翻瓣方式既是单危险因素,也是多危险因素(P 均<0.05)。结论:腮腺肿瘤切除术后并发症和疾病本身等多因素有关。%Objective:To investigate the parotid tumor resection complications.Methods:February 2012 to Febru-ary 2015 75 cases of parotid tumor resection patients enrolled in this study,complications were observed,and study the risk factors.Results:Of 75 patients complications developed in 45 cases,the incidence wsa 60%,9.33% of tempora-ry facial paralysis,facial depression accounted for 10.67%,auricular nerve paresthesia the incidence was 13.33%, frey syndrome was 13.33%,and other complications was statistically significant (P <0.05).The risk factors were:malignant tumors,totally removed,free of the facial nerve,tumor in the ear,surgery more often,the flap (P <0.05). Conclusion:Parotid tumor resection and postoperative complications were related to the disease itself.

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