耳后切口與傳統(tǒng)S形切口行腮腺腫瘤切除的療效對(duì)比研究

謝春 韓傳火 李小雙

[摘要]目的：評(píng)價(jià)經(jīng)耳后切口及S形切口美容手術(shù)對(duì)腮腺腫瘤患者的療效。方法：選擇2016年2月-2018年2月筆者醫(yī)院收治的40例腮腺腫瘤患者的臨床資料進(jìn)行研究，按照手術(shù)方法不同，將患者分成觀察組（20例）和對(duì)照組（20例），對(duì)照組采用傳統(tǒng)S形切口行腫瘤切除術(shù)，觀察組采用經(jīng)耳后切口行腫瘤切除術(shù)。比較兩組患者手術(shù)時(shí)間、術(shù)中出血量等手術(shù)指標(biāo)，比較術(shù)后并發(fā)癥發(fā)生情況和面神經(jīng)功能恢復(fù)情況，對(duì)患者外觀進(jìn)行主觀評(píng)分并比較術(shù)后療效。 結(jié)果：兩組患者手術(shù)時(shí)間、術(shù)中出血量等手術(shù)指標(biāo)比較無(wú)明顯差異，不具有統(tǒng)計(jì)學(xué)意義（P>0.05），觀察組患者切口長(zhǎng)度明顯優(yōu)于對(duì)照組，兩組比較差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。兩組患者術(shù)后面癱、耳垂麻木、Freys綜合征等并發(fā)癥發(fā)生情況和面神經(jīng)功能恢復(fù)情況無(wú)明顯差異，兩組比較無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），而觀察組患者發(fā)生涎瘺和面部凹陷的情況明顯優(yōu)于對(duì)照組，有統(tǒng)計(jì)學(xué)意義（P<0.05）。術(shù)后觀察組患者治療有效率為95.0%，對(duì)照組為90.0%，兩組比較無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）。觀察組術(shù)后患者對(duì)外觀滿意評(píng)分明顯優(yōu)于對(duì)照組，比較有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：經(jīng)耳后切口和S形切口手術(shù)對(duì)腮腺腫瘤患者治療效果滿意，經(jīng)耳后切口美容手術(shù)能顯著改善患者術(shù)后外觀，可達(dá)到較好的美容效果。

[關(guān)鍵詞]經(jīng)耳后切口;S形切口;美容手術(shù);腮腺腫瘤;術(shù)后外觀

[中圖分類(lèi)號(hào)]R139.81 ? ?[文獻(xiàn)標(biāo)志碼]A ? ?[文章編號(hào)]1008-6455（2019）11-0066-04

Abstract： Objective ?To evaluate the efficacy of posterior ear incision and S-shaped incision cosmetic surgery for parotid tumors. Methods ?Methods the clinical data of 40 patients with parotid tumor admitted in our hospital were studied from February 2016 to February 2018.According to different surgical methods， the patients were divided into observation group （20 cases） and control group （20 cases）.The traditional S-shaped incision was used in the control group， while the retroauricular incision was used in the observation group. The operation time and bleeding volume were compared between the two groups. Comparing the occurrence of complications and the recovery of facial nerve function after operation， the subjective score of patients' appearance was made and the curative effect was compared. Results ?There was no significant difference in operative time and bleeding volume between the two groups （P>0.05）.The incision length of the observation group was significantly better than that of the control group， and the difference between the two groups was statistically significant （P<0.05）.There was no significant difference in the incidence of complications such as paralysis， earlobe numbness， Frey's syndrome and the recovery of facial nerve function between the two groups （P>0.05）.However， the occurrence of salivary fistula and facial depression in the observation group was significantly better than that in the control group， with statistical significance between the two groups （P<0.05）.The effective rate of treatment was 95.0% in the observation group and 90.0% in the control group. There was no significant difference between the two groups （P>0.05）.After operation， the patients in the observation group scored significantly better than those in the control group， and the difference between the two groups was statistically significant （P<0.05）. Conclusion Posterior auricular incision and S-shaped incision are satisfactory for parotid gland patients. Posterior auricular incision can significantly improve the appearance of patients after operation and achieve better cosmetic effect.

Key words： post auricular incision; s-shaped incision; cosmetic surgery; curative effect; postoperative appearance

腮腺腫瘤是頜面外科常見(jiàn)的腫瘤類(lèi)型，大部分腫瘤組織來(lái)源于上皮異型性細(xì)胞，重用的治療方法即手術(shù)切除[1]。……