两种腮腺肿瘤切除术式的临床分析

目的：比较两种腮腺肿瘤切除术的疗效及并发症发生率，探讨保留腮腺功能、减少手术并发症及术后面部畸形的最佳方法。方法：将我科收治确诊的41例腮腺肿瘤患者分为两组，传统腮腺浅叶切除术23例（浅叶组），肿瘤包膜外0．5cm部分腺体与肿瘤切除术18例（部分切除组）。部分切除术组给予全麻，肿瘤附近长5．0cm切口，翻瓣，沿肿瘤外0．5cm处，借助剪刀、双极电凝、神经探测监测仪逐步分离，保护面神经分支。完整切除肿瘤连同肿瘤外0．5cm腮腺组织一并切除，分层缝合，负压引流。结果：随访1～3年。浅叶组口干3例，部分切除术组无口干；两组各有一过性额支支配区麻木症状2例；浅叶组均不同程度出现面部凹陷畸形，部分切除组面部畸形不明显；两组随访期内均无复发。结论：肿瘤外0．5cm肿瘤与部分腺体切除术治疗腮腺良性肿瘤安全可行，面部畸形不明显，腮腺功能保留良好。

Clinical Analysis of Two Methods of Parotidectomy

Objective:To compare the efficacy and complications between two methods of Parotidectomy,and to explore in the best technique for preserving function of parotid gland and lessening complications and postoperative facial maformation.Methods: 41 cases of parotid gland tumor were divided into two groups:group with superficial parotidectomy(n=23),and group with partly parotidectomy(n=18) including resection on tumor and partly gland limited in 0.5 cm from outer envelope of tumor.Results: Followed up between 1 y...