可吸收生物膜预防腮腺肿瘤术后味觉出汗综合征的临床观察

目的 评价在腮腺肿瘤切除术中植入可吸收生物膜对预防味觉出汗综合征(Frey综合征)发生的效果.方法 105例腮腺良性肿瘤患者随机分为观察组(53例)和对照组(52例).观察组患者在腮腺肿瘤切除后植入可吸收生物膜；对照组按常规处理,未用可吸收生物膜.术后6 ～12个月,通过调查问卷和碘-淀粉试验对患者的Frey综合征发生情况分别进行主观评价和客观评价.结果 观察组和对照组Frey综合征的主观评价发生率分别为3.8％(2/53)、28.9％(15/52)(P＜0.05)；客观评价的发生率分别为9.4％(5/53)、55.8％(29/52)(P＜0.05).结论 可吸收生物膜植入是预防腮腺肿瘤术后Frey综合征发生简单易行的有效方法,适合临床推广应用.

Clinical research of bioabsorbable membrane in prevention of Frey syndrome after parotidectomy

Objective To evaluate the effect of bioabsorbable membrane in prevention of Frey syndrome after parotidectomy. Methods 105 patients who suffering from benign tumor of parotid gland were divided into experimental group and control group randomly. 53 cases in experimental group underwent insertion of bioabsorbable membrane after parotidectomy, while 52 cases in control group underwent parotidectomy without bioabsorbable membrane. After operation 6 to12 months, all 105 patients were evaluated for gustatory sweating by both questionnaire and minor starchiodine test. Results Subjective evaluation of Frey syndrome revealed that the incidence rate of experimental group and control group were 3.8% （ 2/53 ）, 28.9% （ 15/52 ） respectively （ P 〈 0. 05 ）. Objective evaluation of Frey syndrome revealed that the incidence rate of experimental group and control group were 9.4% （5/53） ,55.8% （29/52） （ 13/21 ） respectively（P 〈 0.05 ）. Conclusion Insertion of bioabsorbable membrane is an effective method for prevention of Frey＇s syndrome after parotidectomy.