Objective :To explore the clinical value of minimal incision and cosmetic outcome by minimal incisive surgery with endoscope - assistant for parotid benign tumor. Methods : From November 2009 to March 2011 , 16 patients with benign tumors located in the superficial lobe of the parotid gland were randomly assigned to conventional (10 cases )and endoscopic( 6 cases ) partial - superficial parotidectomy. Pathological findings were benign tumors. The operative time, amount of bleeding, amount flow after surgery and the satisfaction of patient were analysised. Results : All of the operations were completed successfully. The operative time was not significantly different between the tow groups. The amount of bleeding and amount flow after surgery was markedly lower in endoscopy - assisted group. There were no complications. Conclusion : To portion of parotid benign tumor, minimal incisive surgery with endoscope - assistant is a minimal invasive procedure , with cosmetic outcome and easily accepted by patients. The operation with endoscope - assisted is safe and practical for the treatments of parotid benign tumor.%目的:探讨腔镜辅助下小切口腮腺浅叶肿瘤手术的的临床应用价值.方法:自2009年11月至2011年3月,选择16例位于腮腺浅叶且肿瘤直径小于3cm病例,行腮腺浅叶切除术或区段切除术治疗.其中传统切口手术10例,腔镜辅助下小切口微创手术6例,将两组病例的手术时间、出血量、术后引流量、及患者满意度进行分析.结果:所有手术均顺利完成,手术时间对比两组无差别,出血量微创组小于传统组,术后引流量微创组小于传统组.所有病例均未出现面神经损伤及腮腺瘘等并发症,小切口手术术后伤口较为美观,患者满意度100%.结论:对于位于腮腺浅叶,直径小于3厘米的良性肿瘤,腔镜辅助下小切口手术是一种创伤小、有较好美容效果、病人易于接受的手术治疗方法.该术式较传统开放式手术,在美容、微创、疗效三方面相得益彰,有着较好的应用价值.
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