改良型腮腺切除术在腮腺肿瘤治疗中的临床价值

目的探讨改良型腮腺切除术在腮腺肿瘤切除治疗中的临床价值。方法选择我院2008年至2011年收治的择期行腮腺肿瘤切除术患者127例,按照入院日期,分为2组,单日为观察组62例,双日为对照组65例。观察组患者采取改良型腮腺切除术,对照组患者采取传统腮腺切除术,并进行随访,比较2组患者手术时间、术中出血量和并发症情况。结果共102例患者接受随访,随访率为80.3%,随访时间为2～46个月,观察组在术中出血量和手术时间和肿瘤复发率方面与对照组无差别（P〉0.05）,但在面部瘫痪、凹陷畸形、Frey综合征等并发症发生率显著低于对照组（P〈0.05）。结论改良型腮腺切除术有效的切除肿瘤,且切口隐蔽、手术创伤小、不良反应发生率低,值得临床推广。

Study of Clinical Value of Modified Parotidectomy in Treating Parotid Tumors

Objective To investigate the clinical value of modified parotidectomy in treating parotid tumors.Methods 127 patients with parotid tumors were selected and divided into two groups, 62 patients in observation group were taken modified parotidectomy, 65 patients in control group were taken traditional parotidectomy,surgery time, blood loss and postoperative complications were compared.Results 102 patients（80.3%） were followed--up for 2 to 42 months,and there was no significant difference between surgery time, blood loss and tumor recurrence rate（P〉0.05）,but the incidence of facial paralysis, deformity and Ferry syndrome of observation group were significantly lower than control group（P〈0.05）. Conclusion The method of modified parotidectomy has a good effect in treating parotid tumors, surgical trauma and less complications.