胸锁乳突肌瓣联合人工生物膜修复腮腺切除术后缺损的临床观察

目的 评价腮腺切除术后应用胸锁乳突肌瓣联合人工生物膜改善面部凹陷畸形、预防味觉出汗综合征的效果. 方法 68例患者随机分为2组,修复组36例,采用胸锁乳突肌瓣联合人工生物膜修复腮腺切除术后创面;对照组32例,术后创面不做修复. 随访6~24 个月,比较2组患者术后面部凹陷畸形及味觉出汗综合征的发生率. 结果 修复组和对照组面部凹陷畸形发生率分别为8. 33%(3/36)和81. 25%(26/32),修复组低于对照组,差异具有统计学意义(χ2 =36. 83,P<0. 05);修复组和对照组味觉出汗综合征的发生率分别为5. 56%(2/36)和62. 50%(20/32),修复组低于对照组,差异有统计学意义(χ2 =25. 10,P<0. 05);2组均无颈部运动障碍发生.结论 胸锁乳突肌瓣联合人工生物膜修复腮腺切除术后缺损对改善术后面部凹陷畸形及预防味觉出汗综合征有显著效果.

Clinical observation of sternocleidomastoid muscle flaps combined with artificial biological membrane reparing the defects after parotidectomy

Objective To investigate therapeutic effects of sternocleidomastoid muscle flaps combined with artificial biological membrane in repairment of facial concave deformity and prevention of taste sweating syndrome after parotidecto-my. Methods 68 cases of patients were randomly divided into two groups. The repair group, 36 cases, received the re-pair of partial sternocleidomastoid muscle flaps combined with artificial biological membrane, while the control group, 32 cases, had normal treatment without repairmen after parotidectomy. The two groups of patients were followed up for 6-18 months. The incidence of facial concave deformity and taste sweating syndrome were statistically compared and analyzed. Neck movements also were tested. Results The incidence rate of facial concave deformity was 8. 33% ( 3/36) in the re-pair group and 81. 25% ( 26/32) in the control group. Taste sweating syndrome occurred 5. 56% ( 2/36) in the repair group and 62. 50% ( 20/32) in the control group. Both the incidence rates between two groups had the significant differ-ence (χ2 =25. 10, P<0. 05) . Neither of each group had dysfunction of neck movement. Conclusion Sternocleidomas-toid muscle flap combined with artificial biological membrane repairing the defects of post-parotidectomymay significantly improve facial concave deformity and prevent taste sweating syndrome.