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内窥镜辅助耳后小切口切除术在腮腺良性肿瘤中的临床应用
Clinical application of endoscope-assisted postauricular small incision resection in benign parotid tumors

微创医学 20201501期 页码:26-28

作者机构:江西省抚州市第一人民医院口腔科,抚州市341000

基金信息:

DOI:DOI:10.11864/j.issn.1673.2020.01.09

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨内窥镜辅助耳后小切口切除术治疗腮腺良性肿瘤的效果。方法将92例腮腺良性肿瘤患者随机分成观察组(46例)与对照组(46例),对照组使用传统“S”形切口入路行肿瘤切除,观察组应用内窥镜辅助耳后小切口行肿瘤切除,观察两组患者手术效果及预后情况。结果观察组手术时间、切口长度、术中出血量、术后引流量及住院时间均少于或短于对照组(均P<0.05)。术后随访,观察组患者的外观总满意率为93.48%,明显高于对照组的76.09%;观察组术后并发症发生率为4.35%,明显低于对照组的21.74%(均P<0.05)。结论对腮腺良性肿瘤患者行内窥镜辅助下耳后小切口肿瘤切除术的疗效显著,患者的外观满意度高,术后并发症发生率低,值得推广应用。
ObjectiveTo investigate the effect of endoscope-assisted postauricular small incision resection on benign parotid tumors. MethodsNinety-two patients with benign parotid tumors were randomly divided into observation group (46 cases) and control group (46 cases). The control group underwent tumor resection using traditional “S”-shape incision approach, while the observation group underwent tumor resection using endoscope-assisted postauricular small incision. The surgical effect and prognosis of the two groups were observed. ResultsThe operation duration, incision length, intraoperative bleeding volume, postoperative drainage volume, and hospital stay in the observation group were less or shorter than those in the control group (all P<0.05). In the postoperative follow-up, compared to the control group, patients in the observation group obtained a significantly higher total satisfaction rate with appearance (93.48% vs. 76.09%), and a significant lower incidence rate of postoperative complications (4.35% vs. 21.74%) (all P<0.05). ConclusionFor patients with benign parotid tumors, endoscope-assisted postauricular small incision resection has prominent efficacy, high patients′ satisfaction rate with appearance and a low incidence rate of postoperative complications, which is worthy of promotion and application.

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