美容切口联合胸锁乳突肌瓣在腮腺良性肿瘤切除术中的应用及美学效果分析
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摘要
目的:探讨在腮腺良性肿瘤手术患者中运用美容切口及胸锁乳突肌瓣进行治疗的临床疗效及美学效果。方法:选取2016年1月-2017年12月在笔者医院接受腮腺良性肿瘤手术治疗的48例患者为研究对象,按照随机数表法分为观察组和对照组,每组24例。对照组患者均接受常规模式的手术切口处理,观察组患者接受美容切口以及胸锁乳突肌瓣治疗。分析两组患者术后的并发症、复发情况以及美学满意度情况。结果:术后,观察组患者的并发症发生率及术后复发率与对照组比较,均无显著性差异(P>0.05);观察组患者的美学满意度为95.83%,对照组患者的美学满意度为75.00%,组间比较,差异具有统计学意义(P<0.05)。结论:对于腮腺良性肿瘤,采用手术治疗时,美容切口联合胸锁乳突肌瓣的手术方式疗效良好,术后患者并发症发生率及术后复发率不会增加,且美学效果改善明显。
Objective To explore and analyze the clinical effect of cosmetic incision and sternocleidomastoid muscle ? ap in the treatment of parotid benign tumor. Methods We selected 48 patients who received surgical treatment for benign parotid gland tumors in our hospital from January 2016 to December 2017.According to the random number table method, 24 cases was divided into observation group and control group, respectively. Patients in the control group received conventional surgical incision treatment, while patients in the observation group received cosmetic incision and sternocleidomastoid ? ap treatment.The postoperative complications, recurrence and aesthetic satisfaction between the two groups were analyzed. Results There was no signi? cant difference in complication rate and recurrence rate between the observation group and the control group(P>0.05). The aesthetic satisfaction of the patients in the observation group was 95.83%, and that of the patients in the control group was 75.00%. The difference between the two groups was statistically signi? cant(P<0.05). Conclusion In clinical practice,cosmetic incision and sternocleidomastoid muscle ? ap are effective in the surgical treatment of benign parotid gland tumors.The postoperative complication rate and recurrence rate of patients will not increase, but the aesthetic effect is signi? cantly improved.
Objective To explore and analyze the clinical effect of cosmetic incision and sternocleidomastoid muscle ? ap in the treatment of parotid benign tumor. Methods We selected 48 patients who received surgical treatment for benign parotid gland tumors in our hospital from January 2016 to December 2017.According to the random number table method, 24 cases was divided into observation group and control group, respectively. Patients in the control group received conventional surgical incision treatment, while patients in the observation group received cosmetic incision and sternocleidomastoid ? ap treatment.The postoperative complications, recurrence and aesthetic satisfaction between the two groups were analyzed. Results There was no signi? cant difference in complication rate and recurrence rate between the observation group and the control group(P>0.05). The aesthetic satisfaction of the patients in the observation group was 95.83%, and that of the patients in the control group was 75.00%. The difference between the two groups was statistically signi? cant(P<0.05). Conclusion In clinical practice,cosmetic incision and sternocleidomastoid muscle ? ap are effective in the surgical treatment of benign parotid gland tumors.The postoperative complication rate and recurrence rate of patients will not increase, but the aesthetic effect is signi? cantly improved.
引文
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[10]李俏丽,李超,王薇,等.术后放化疗后复发并侵及侧颅底的原发性腮腺鳞状细胞癌一例[J].山东大学耳鼻喉眼学报,2018,32(1):87-88.
[11]蔡和杰,李智.单侧经胸锁乳突肌内侧缘小切口入路甲状腺手术的临床效果分析[J].中国当代医药,2017,24(11):58-60.
[12]陈炜,杨永志.单侧甲状腺手术行经胸锁乳突肌内侧缘小切口入路的临床效果观察[J].浙江创伤外科,2016,21(4):702-703.
[13]唐国华,邱钧,项本宏,等.胸锁乳突肌内缘入路在单侧甲状腺手术中的应用[J].安徽医药,2017,21(5):904-906.
[14]孙黎波,兰玉燕,张力,等.美容切口及胸锁乳突肌瓣在腮腺良性肿瘤切除术中的应用[J].口腔疾病防治,2015,23(9):480-483.
[15]孙广平,赵仪云,董思辰.胸锁乳突肌瓣在腮腺良性肿瘤切除术中的应用[J].中国医药指南,2014,22(30):210-211.
[2]王勖成,龚忠诚,林兆全,等.腮腺区良性肿瘤术后并发症发生的相关因素分析[J].中国口腔颌面外科杂志,2017,15(3):259-263.
[3]郭杰峰,赵晓明,张思毅,等.功能性手术在治疗腮腺尾叶良性肿瘤中的临床应用[J].中国耳鼻咽喉颅底外科杂志,2014,20(4):334-337.
[4]张萌,曹蜀炜,刘建敏.运用胸锁乳突肌瓣防止腮腺术后味觉出汗综合征和面部畸形的研究[J].临床耳鼻咽喉头颈外科杂志,2016,30(6):482-484.
[5]周长华,桂明才,徐丹,等.腮腺良性肿瘤切除中胸锁乳突肌皮瓣的应用分析[J].山东大学耳鼻喉眼学报,2016,30(6):46-48.
[6]陆建荣,班华杰,王代友,等.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[J].口腔疾病防治,2016,24(1):29-32.
[7]孙德平.腮腺良性肿瘤改良术式的疗效及并发症探讨[J].华西医学,2017,32(4):541-544.
[8]石福民,顾占国,翟健,等.腮腺肿瘤不同切口及路径的手术效果比较[J].临床军医杂志,2014,42(10):1059-1062.
[9]陈志,张来健,徐伟,等.预防腮腺区良性肿瘤术后畸形及味觉性出汗综合征[J].全科口腔医学电子杂志,2016,3(13):97-98.
[10]李俏丽,李超,王薇,等.术后放化疗后复发并侵及侧颅底的原发性腮腺鳞状细胞癌一例[J].山东大学耳鼻喉眼学报,2018,32(1):87-88.
[11]蔡和杰,李智.单侧经胸锁乳突肌内侧缘小切口入路甲状腺手术的临床效果分析[J].中国当代医药,2017,24(11):58-60.
[12]陈炜,杨永志.单侧甲状腺手术行经胸锁乳突肌内侧缘小切口入路的临床效果观察[J].浙江创伤外科,2016,21(4):702-703.
[13]唐国华,邱钧,项本宏,等.胸锁乳突肌内缘入路在单侧甲状腺手术中的应用[J].安徽医药,2017,21(5):904-906.
[14]孙黎波,兰玉燕,张力,等.美容切口及胸锁乳突肌瓣在腮腺良性肿瘤切除术中的应用[J].口腔疾病防治,2015,23(9):480-483.
[15]孙广平,赵仪云,董思辰.胸锁乳突肌瓣在腮腺良性肿瘤切除术中的应用[J].中国医药指南,2014,22(30):210-211.