沿下颌缘支逆向解剖面神经在腮腺肿瘤手术中的临床意义

摘要

Objective:To investigate the clinical significance of along the marginal mandibular branch of facial nerve anatomy method of reverse operation of parotid neoplasms.Method:86 cases of parotid neoplasms from June 2008 to December 2012 in our hospital were selected.The 86 patients were performed along the marginal mandibular branch of facial nerve anatomy operation reverse treatment,86 patients in 24 cases of parotid total resection,62 patients with superficial parotidectomy.After the operation,all patients would be followed up for 8 to 66 months.The postoperative recovery effect were strict and accurate recorded.Result:Effects of 86 cases of patients with the overall treatment were good.No recurrence occurred,4 patients with parotid fistula operation were cured in two to three weeks.Follow-up record shows that 86 patients had no serious infection,postoperative infections and permanent facial paralysis patients. Conclusion:Operation in the treatment of patients with parotid neoplasms along the marginal mandibular branch of facial nerve anatomy method of reverse operation method has a better clinical therapeutic effect.Treatment of this anatomical landmarks makes more easily to find accurate than that of traditional anatomical method.After treatment,patients with severe facial paralysis sequelae generally does not occur.%目的：探讨腮腺肿瘤手术中采用沿下颌缘支逆向解剖面神经方法的临床意义。方法：选取2008年6月-2012年12月笔者所在医院收治的腮腺肿瘤患者86例进行分析。86例患者均进行沿下颌缘支逆向解剖面神经手术治疗方法，86例患者中24例为腮腺全部切除，62例患者为腮腺浅叶切除，手术后对全部患者进行8~66个月的术后随访，严格准确记录患者术后恢复效果。结果：86例患者整体治疗效果良好，均未复发，手术治疗后发生腮腺瘘患者4例，2~3周后全部治愈；后续随访记录结果显示，86例患者无感染、术后严重感染以及永久性面瘫患者。结论：腮腺肿瘤患者手术治疗中，沿下颌缘支逆向解剖面神经手术方法是一种临床治疗效果较好的方法，这种解剖治疗方法的解剖标志要比传统的解剖方法更加容易准确找到，治疗后患者一般不会发生面瘫等严重的后遗症。