保留腮腺主导管浅叶部分切除术治疗腮腺肿瘤24例临床分析.docVIP

保留腮腺主导管的浅叶部分切除术治疗腮腺肿瘤24例临床分析 　　摘要：目的 探讨保留腮腺主导管的浅叶部分切除术治疗腮腺肿瘤的可行性及安全性。方法 按照手术方式不同将我院48例腮腺肿瘤患者随机分为保留腮腺主导管浅叶部分切除术治疗组（观察组）和传统浅叶全切术治疗组（对照组），每组各24例，随访观察两组患者的临床疗效。结果 观察组患者的切口长度及切口I期愈合率均优于对照组患者，组间差异有统计学意义（P0.05），两组患者在术后复发率方面的差异有统计学意义（P＞0.05）。观察组患者术后并发症发生率为12.5%，低于对照组患者的37.5%，组间差异有统计学意义（P0.05）。结论 保留腮腺主导管浅叶部分切除术治疗腮腺肿瘤是安全可行的，是一种理想的手术方式，值得临床进一步推广应用。 　　关键词：腮腺肿瘤；腮腺主导管；浅叶部分切除；并发症 　　Clinical Analysis about 24 Cases of Superficial Lobe Resection Preserving the Main Parotid Gland for Parotid Gland Tumor 　　BAO Jia-bin 　　(Department of Stomatology,The Fifth Peoples Hospital of Qidong City,Qidong 226231,Jiangsu,China) 　　Abstract： ObjectiveTo investigate the feasibility and safety of superficial lobe resection preserving the main parotid gland for parotid gland tumor.Methods48 cases of parotid gland tumor in our hospital were randomly divided into superficial lobe resection preserving the main parotid gland treatment group (observation group)and traditional shallow leaf resection treatment group (control group),24 cases in each group,observed the clinical effect of two groups.Results The length of incision and wound healing rate of observation group was better than control group,there was significant difference between two groups(P0.05).The complications rate of cases in observation group was 12.5%,lower than that in control group (37.5%),there was significant difference between two groups(P0.05).Conclusion Taking superficial lobe resection preserving the main parotid gland for parotid gland tumor is safe and feasible,it is an ideal operation mode, worthy of further clinical application. 　　Key words：Parotid gland tumor;Main parotid gland;Superficial lobe resection;Complications腮腺肿瘤是口腔外科常见疾病，腮腺浅叶切除术是治疗腮腺肿瘤的有效方法，传统腮腺浅叶切除术需结扎腮腺主导管，术后存在较多并发症[1]。近年来我院口腔科采用保留腮腺主导管的浅叶部分切除术治疗腮腺肿瘤取得了较好的效果。 　　1 资料与方法 　　1.1 一般资料选取我院2009年3月～2012年3月收治的48例腮腺肿瘤患者，所有患者均经手术病理结果证实。将患者分为观察组和对照组，每组各24例，对照组男性14例，女性10例，年龄24～74岁，平均年龄（52.7±2.4）岁，肿瘤直径1.2～2.9cm，平均（2.2±0.4）cm，腮腺混合瘤18例，腺淋巴瘤5例及钙化上皮瘤 1例。观察组男性13例，女性11例，年龄27～