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中华养生保健 ›› 2022, Vol. 40 ›› Issue (4): 1-3.

• 论著 •    下一篇

传统腮腺浅叶切除术与腮腺区域切除术治疗腮腺区良性肿瘤的效果比较

宫学兵   

  1. 平原县第一人民医院口腔科,山东 德州,253100
  • 出版日期:2022-02-16 发布日期:2022-05-12
  • 作者简介:宫学兵(1971.2-),男,汉族,籍贯:山东省德州市,本科,副主任医师,研究方向:口腔肿瘤。

Comparison of Traditional Superficial Parotidectomy and Regional Parotidectomy in the Treatment of Benign Parotid Tumors

GONG Xue-bing   

  1. Department of Stomatology, the First People’s Hospital of Pingyuan County, Shandong Dezhou, 253100, China
  • Online:2022-02-16 Published:2022-05-12

摘要: 目的 分析腮腺区域切除术在腮腺区良性肿瘤患者中的应用效果。方法 选取2018年9月~2020年10月平原县第一人民医院收治的66例腮腺区良性肿瘤患者,按照随机数表法分为对照组和观察组,每组33例。对照组33例予以传统腮腺浅叶切除术治疗,观察组33例接受腮腺区域切除术治疗,对比两组手术相关指标、术后并发症及复发率。结果 观察组手术时间、住院时间短于对照组,术中出血量少于对照组,切口长度短于对照组,差异均有统计学意义(P<0.05);观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05);随访3个月,观察组复发率与对照组比较,差异无统计学意义(P>0.05)。结论 腮腺区域切除术具有较传统手术更佳的疗效,可有效减轻患者手术所致创伤,减少并发症发生,从而缩短患者住院时间,加速患者康复。

关键词: 腮腺浅叶切除术, 良性肿瘤, 并发症, 住院时间, 复发率

Abstract: Objective To analyze the application effect of parotidectomy in patients with benign parotid tumors. Methods 66 patients with benign tumors in parotid gland area treated in the first people's Hospital of Pingyuan County from September 2018 to October 2020 were randomly divided into control group and observation group, with 33 cases in each group. 33 cases in the control group were treated with traditional parotidectomy, and 33 cases in the observation group were treated with parotidectomy.The operation-related indicators, postoperative complications and recurrence rate were compared between the two groups. Results The operation time and hospital stay of the observation group were shorter than those of the control group, the blood loss during operation was less than that of the control group, and the incision length was shorter than that of the control group , the difference was significant(P<0.05); the total complication rate of the observation group was lower than that of the control group, the difference was significant (P<0.05); After 3 months of follow-up, the recurrence rate of the observation group was higher than that of the control group, the difference was not statistically significant (P>0.05). Conclusion Parotidectomy has better curative effect than traditional surgery, which can effectively reduce the trauma caused by surgery, reduce the occurrence of complications, shorten the hospitalization time and accelerate the recovery of patients.

Key words: superficial parotidectomy, benign tumor, complication, length of hospital stay, recurrence rate

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