改良型腮腺切除术治疗腮腺肿瘤疗效观察

摘要

Objective To investigate the clinical effect of modified parotidectomy in the treatment of parotid gland tumor.Methods A total of 128 patients with parotid tumors who were admitted to the First People's Hospital of Yunnan Province from May 2008 to January 2016 were selected as the study subjects.According to the random number table,the patients were divided into modified group and conventional group,with 64 cases in each group.The conven-tional group received traditional parotidectomy,and the modified group received modified parotidectomy.Perioperative conditions, complications and preoperative and postoperative quality of life scores were compared between the two groups.Results There was no significant difference in operative time,intraoperative blood loss,postoperative drainage and medical costs between the two groups(P>0.05).In the modified group,the surgical incision was(3.15±1.08)cm and the length of hospitalization was (7.15 ± 1.36) days, both of which were significantly shorter than (6.35 ± 1.05) cm and (12.03 ± 2.01) days in the conventional group (P<0.05). In the modified group, the total incidence of dry mouth, facial nerve injury, facial deformity, FREY syndrome and incision infection was 7.81%, which was significantly lower than 21.88% in the conventional group(P<0.05).The quality of life scores of patients before operation were(29.61±3.77)in the modified group versus(29.33±4.42)in the conventional group(P>0.05).The quality of life scores of patients after opera-tion were(45.39±5.10)in the modified group versus(39.16±4.73)in the conventional group(P<0.05).Conclusion Mod-ified parotidectomy has significant effect in the treatment of parotid gland tumor patients,which can effectively reduce the surgical incision,reduce the incidence of complications,and promote post-recovery.%目的 探究改良型腮腺切除术治疗腮腺肿瘤的临床效果.方法 选取2008年5月至2016年1月期间云南省第一人民医院收治的128例腮腺肿瘤患者为研究对象,按随机数表法将患者分为改良组和常规组,每组64例,常规组患者给予传统腮腺切除术治疗,改良组患者给予改良型腮腺切除术治疗.比较两组患者围术期情况、并发症发生情况和术前、术后生活质量评分.结果 两组患者的手术时间、术中出血量、术后引流量和医疗费用比较差异均无统计学意义(P>0.05);改良组患者的手术切口为(3.15±1.08)cm,住院时间为(7.15±1.36)d,均明显短于常规组的(6.35±1.05)cm和(12.03±2.01)d,差异均有统计学意义(P<0.05);改良组患者口干、面神经损伤、面部畸形、FREY综合征、切口感染的总发生率为7.81%,明显低于常规组患者的21.88%,差异有统计学意义(P<0.05);术前改良组和常规组患者的生活质量评分分别为(29.61±3.77)分和(29.33±4.42)分,差异无统计学意义(P>0.05);术后改良组和常规组患者的生活质量评分分别为(45.39±5.10)分和(39.16±4.73)分,差异有统计学意义(P<0.05).结论 腮腺肿瘤患者经改良型腮腺切除术治疗能够有效缩小手术切口,降低并发症发生率,促进后恢复,临床治疗效果显著.