胸锁乳突肌瓣对腮腺良性肿瘤切除术后Frey综合征预防疗效观察.docVIP

胸锁乳突肌瓣对腮腺良性肿瘤切除术后Frey综合征预防疗效观察 　　[摘要] 目的 探讨胸锁乳突肌瓣对腮腺良性肿瘤切除术后预防Frey综合征的临床疗效。 方法 将138例腮腺良性肿瘤患者随机分为对照组和实验组，对照组患者行常规腮腺瘤手术；实验组则应用胸锁乳突肌瓣充填腮腺手术凹陷区域；术后随访3～12个月。 结果 实验组手术区域凹陷畸形的改善效果优于对照组（P0.01）；对照组Frey综合征得发生率为33.33%；实验组Frey综合征的发生率为9.88%，实验组在减少Frey综合征发生方面强于对照组（P0.01）。 结论 胸锁乳突肌瓣不仅可以有效改善腮腺良性肿瘤术后面部凹陷畸形，同时对预防Frey综合征的发生也有很好的疗效。 　　[关键词] 胸锁乳突肌瓣；腮腺良性肿瘤；Frey综合征 　　[中图分类号] R739.8 [文献标识码] A [文章编号] 1674-4721（2013）11（b）-0020-02 　　Clinical observation of sternocleidomastoid muscle flap for operation on parotid benign tumor in the prevention of Frey syndrome 　　DENG Si-hai WANG Tie-sheng HUANG Ren-cai LUO He-ping 　　Department of Stomatology，People′s Hospital of Pingxiang City in Jiangxi Province，Pingxiang 337055，China 　　[Abstract] Objective To investigate the clinical observation of sternocleidomastoid muscle flap for operation on parotid benign tumor in the prevention of Frey syndrome. Methods 138 cases with parotid benign tumors were randomly divided into control group and experimental group.The patients in control group were treated with traditional parotidectomy，while the patients in experimental group were treated with modified parotidectomy including repairing the soft tissue defects by sternocleidomastoid muscle flap.Patients were followed for 3-12 months. Results The Frey syndrome occurs rate was 33.33% in the control group，the occurs rate was 9.88% in the experimental group.There were significant lower rates on sunken deformities and Frey syndrome in experimental groups than that of control group （P0.01）.The effects of sternocleidomastoid muscle flap combined with parotid fascia flap were better. Conclusion The sternocleidomastoid muscle flap transfer can obviously improve post-operative deformity and has a good effect on prevent the incidence of Frey syndrome. 　　[Key words] Sternocleidomastoid muscle flap；Parotid benign tumor；Frey syndrome 　　目前，临床上腮腺良性肿瘤的发生率逐年升高，传统的手术方法主要为保留面神经的腮腺浅叶或全叶切除的“S”形切口术式。但是由于现阶段的手术技术和方法设备等条件仍不完善，常会发生术后手术区域出现不同程度的面部凹陷畸形、Frey综合征等并发症，甚至还有部分患者出现涎瘘症状。随