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目的评价改良术式治疗腮腺良性肿瘤的疗效及并发症的发生情况。方法将2007年2月—2013年2月收治的49例腮腺良性肿瘤患者随机分为采用改良术式治疗组(试验组,24例)和传统术式治疗组(对照组,25例),术后进行2个月~2年的随访,对术后并发症(面神经麻痹、味觉出汗综合征、局部畸形、涎瘘)、复发情况进行比较。结果 49例患者于术后2个月~1年都得到随访;术后2年,试验组失访3例,对照组失访4例。所有患者术后均无复发。试验组无暂时性面神经麻痹发生,对照组发生暂时性面神经麻痹5例(20.0%)。两组均无永久性面神经麻痹发生。试验组发生味觉出汗综合征1例(4.2%),对照组发生味觉出汗综合征4例(16.0%)。试验组24例患者术后双侧面部基本对称,无凹陷畸形;对照组术侧面部凹陷畸形4例,其中轻度凹陷畸形3例,明显凹陷畸形1例,发生率为16.0%。试验组发生涎瘘1例(4.2%),对照组发生涎瘘5例(24.0%)。两组总的并发症发生率比较差异有统计学意义(P<0.05)。结论改良术式能有效减少腮腺术后并发症的发生,值得临床推广应用。
Objective To evaluate the efficacy and complications of modified surgical treatment of parotid benign tumors. Methods Forty-nine patients with benign parotid tumors who were treated from February 2007 to February 2013 were randomly divided into two groups: modified operation group (24 cases) and conventional operation group (control group, 25 cases) After 2 months to 2 years of follow-up, postoperative complications (facial nerve paralysis, taste sweating syndrome, local malformations, salivary fistula), recurrence were compared. Results 49 patients were followed up from 2 months to 1 year after operation. In the 2 years after operation, the patients in the experimental group lost 3 patients and the control group lost 4 patients. All patients had no recurrence after surgery. No transient facial paralysis occurred in the experimental group, and 5 cases (20.0%) had temporary facial paralysis in the control group. No permanent facial palsy occurred in either group. Tasting sweating syndrome occurred in 1 case (4.2%) in the test group, while in the control group, 4 cases (16.0%) experienced taste sweating syndrome. The experimental group of 24 patients with bilateral facial symmetry, no concave deformity; control group facial deformity 4 cases, including mild deformity in 3 cases, 1 case of obvious deformity, the incidence was 16.0%. One case of salivary fistula (4.2%) occurred in the experimental group and 5 cases (24.0%) of the salivary fistula occurred in the control group. The total incidence of complications between the two groups was significantly different (P <0.05). Conclusion Modified surgical procedures can effectively reduce the incidence of parotid complications, it is worthy of clinical application.