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胸锁乳突肌瓣联合异体脱细胞真皮基质预防腮腺部分切除术后 Frey 综合征的临床观察
引用本文:韩立显,马新亮,朱守莉,周洲,钱苏辉,殷秀琴,常秀林,刘宝森.胸锁乳突肌瓣联合异体脱细胞真皮基质预防腮腺部分切除术后 Frey 综合征的临床观察[J].蚌埠医学院学报,2015(3):345-347.
作者姓名:韩立显  马新亮  朱守莉  周洲  钱苏辉  殷秀琴  常秀林  刘宝森
作者单位:安徽省淮北市人民医院 口腔颌面外科,235000
基金项目:安徽省淮北市科技计划资助项目(20100240)
摘    要:目的::探讨胸锁乳突肌瓣联合应用异体脱细胞真皮基质(ADM)医用组织补片预防腮腺部分切除术后 Frey 综合征的临床应用效果。方法:103例腮腺良性肿瘤患者随机分成腮腺部分切除术+胸锁乳突肌肌筋膜瓣转移修复术组(A 组)和腮腺部分切除术+胸锁乳突肌肌筋膜瓣转移修复术+ ADM 修复术组(B 组)各35例,不采用任何修复方式直接关闭手术创面组(C 组)33例。随访6~42个月。统计3组患者术后半年碘-淀粉试验阳性例数和主观评价阳性例数。结果:A 组和 C 组复查时碘-淀粉试验阳性率和主观评价阳性率均明显高于 B 组(P <0.01),而 C 组患者碘-淀粉试验阳性率和主观评价阳性率均明显高于 A 组(P <0.01)。结论:应用胸锁乳突肌肌筋膜瓣转移修复术预防腮腺部分切除术后 Frey 综合征的效果满意,联合应用 ADM 则能取得更好的临床疗效。

关 键 词:腮腺肿瘤  外科手术  胸锁乳突肌瓣  Frey  综合征

The effect of sternocleidomastoid flap combined with amorphous decellularized dermal matrix on the prevention of Frey syndrome after partial parotidectomy
HAN Li-xian;MA Xin-liang;ZHU Shou-li;ZHOU Zhou;QIAN Su-hui;YIN Xiu-qin;CHANG Xiu-lin;LIU Bao-sen.The effect of sternocleidomastoid flap combined with amorphous decellularized dermal matrix on the prevention of Frey syndrome after partial parotidectomy[J].Journal of Bengbu Medical College,2015(3):345-347.
Authors:HAN Li-xian;MA Xin-liang;ZHU Shou-li;ZHOU Zhou;QIAN Su-hui;YIN Xiu-qin;CHANG Xiu-lin;LIU Bao-sen
Institution:HAN Li-xian;MA Xin-liang;ZHU Shou-li;ZHOU Zhou;QIAN Su-hui;YIN Xiu-qin;CHANG Xiu-lin;LIU Bao-sen;Department of Oral and Maxillofacial Surgery,The People’s Hospital of Huaibei;
Abstract:Objective:To explore the clinical effects of sternocleidomastoid flap combined with amorphous decellularized dermal matrix (ADM) medical organization patch in the prevention of Frey syndrome after partial parotidectomy. Methods:One hundred and three patients with parotid benign tumor were randomly divided into the experiment group A and B(35 cases each group) and group C (33 cases). Group A and B were treated with sternocleidomastoid flap and sternocleidomastoid flap combined with ADM,respectively. The wounds in group C were directly closed without any repair. All patients were followed up for 6 to 42 months. The positive cases of iodine-starch test and subjective evaluation in 3 groups were observed in 6 months after operation. Results:The positive rates of iodine-starch test and subjective evaluation in group A and C were higher than those in group B(P < 0. 01),the positive rates of iodine-starch test and subjective evaluation in group C were higher than those in group A(P < 0. 01). Conclusions:The effect of sternocleidomastoid flap in the prevention of Frey syndrome after parotidectomy is good,but the preventive effect of sternocleidomastoid flap combined with ADM is better.
Keywords:parotid benign tumor  surgery  sternocleidomastoid flap  Frey syndrome
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