| 周瑜,叶茂昌,王来平,等.解剖面神经下颌缘支的逆行法在腮腺切除术中的应用[J].安徽医药,2018,22(9):1726-1728. |
| 解剖面神经下颌缘支的逆行法在腮腺切除术中的应用 |
| Application of retrograde dissection of the mandibular marginal branch of facial nerve in parotidectomy |
| 投稿时间：2016-09-05 |
| DOI： |
| 中文关键词: 腮腺切除术 面神经麻痹 腮腺肿瘤 并发症 |
| 英文关键词: Parotidectomy Facial nerve paresis Parotid gland tumor Complications |
| 基金项目: |
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| 中文摘要: |
| 目的 分析逆行性解剖面神经下颌缘支的方法在腮腺切除术中的临床应用价值。方法 将中国科学技术大学附属第一医院2010年1月至2015年5月期间因腮腺良性肿瘤接受腮腺切除术的183例患者按腮腺切除术中面神经解剖方法的不同分为两组,其中解剖面神经下颌缘支的逆行法133例为Ⅰ组,其余解剖法50例为Ⅱ组,比较两组患者腮腺切除后手术时长、术中出血及术后并发症发生率等。结果 Ⅰ组手术时长短于Ⅱ组[(94.1±4.77) min比(133.6±2.21)min,t=76.193,P=0.000]、Ⅰ组术中出血量少于Ⅱ组[(52.3±1.19) mL比(97.2±3.88)mL,t=80.418,P=0.000]、术后暂时性面神经麻痹Ⅰ组13例 ,Ⅱ组11例(χ2=4.767,P=0.029)、术后永久性面神经麻痹Ⅰ组1例,Ⅱ组3例(χ2=2.548,P=0.110)、术后涎瘘Ⅰ组9例,Ⅱ组9例(χ2=3.981,P=0.046)、术后Frey综合征Ⅰ组14例,Ⅱ组10例(χ2=2.862,P=0.091)。两组患者术后无复发病例。结论 解剖面神经下颌缘支的逆行法可有效地缩短腮腺切除术中手术时间,减少术中出血,降低术后常见并发症的发病率。 |
| 英文摘要: |
| Objective To analyze the clinical application value of retrograde dissection of the mandibular marginal branch of the facial nerve in parotidectomy.Methods 183 patients with benign tumors who received parotidectomy in our department between January 2010 and May 2015 at Oral Cavity Medical Center of the First Affiliated Hospital of USTC were selected. All of the patients were divided into 2 groups according to different methods of dissection of facial nerve,with 133 cases with retrograde dissection of the mandibular marginal branch as group Ⅰ,51 cases of other dissection methods of facial nerve as group Ⅱ.The operation time,intraoperative bleeding and postoperative complications were compared between the two groups.Results The average operation time of group Ⅰ was shorter than group Ⅱ [(94.1±4.77) min vs. (133.6±2.21) min,t=76.193,P= 0.000].The blood transfusion of group Ⅰ was less than that of group Ⅱ [(52.3±1.19) mL vs. (97.2±3.88) mL,t=80.418,P=0.000].There were 13 cases of temporary facial paralysis in group I,and 11 cases in group Ⅱ (χ2=4.767,P=0.029).There was 1 case of permant facial paralysis in group Ⅰ,and 3 cases in group Ⅱ (χ2=2.548,P=0.110).There were 9 cases of salivary fistula in group Ⅰ,and 9 cases in group Ⅱ (χ2=3.981,P=0.046).There were 14 cases of Frey syndrome in group Ⅰ,and 10 cases in group Ⅱ (χ2=2.862,P=0.091).No recurrence was found in both of the groups after operation. Conclusion Retrograde dissection of the mandibular marginal branch of the facial nerve in parotidectomy can effectively shorten the operation Facial paralysis time,reduce intraoperative bleeding and reduce the incidence of postoperative complications. |
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