中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2017, Vol. 15 ›› Issue (3): 259-263.doi: 10.19438/j.cjoms.2017.03.014

• 论著 • 上一篇    下一篇

腮腺区良性肿瘤术后并发症发生的相关因素分析

王勖成，龚忠诚，林兆全，凌彬，尹小朋，邵博   

  1. 新疆医科大学第一附属医院 颌面肿瘤外科，新疆医科大学口腔医学院， 新疆维吾尔自治区口腔医学研究所，新疆 乌鲁木齐 830054
  • 收稿日期:2016-10-12 修回日期:2017-01-16 出版日期:2017-05-20 发布日期:2017-06-09
  • 作者简介:王勖成（1988-），男，在读硕士研究生，E-mail：24135058@qq.com.
  • 基金资助:
    龚忠诚，E-mail：gump0904@aliyun.com

Analysis of related factors of postoperative complications in patients with benign tumors of parotid gland

WANG Xu-cheng, GONG Zhong-cheng, LIN Zhao-quan, LING Bin, YIN Xiao-peng, SHAO Bo.   

  1. Oncology Department of Oral and Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University, Stomatology College of Xinjiang Medical University, Stomatology Research Institute of Xinjiang Uygur Autonomous Region. Urumqi 830054, Xinjiang Uygur Autonomous Region, China
  • Received:2016-10-12 Revised:2017-01-16 Online:2017-05-20 Published:2017-06-09

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摘要： 目的： 探讨腮腺良性肿瘤术后各类并发症发生的相关因素。方法：搜集并整理我院2010—2015年手术治疗的215例腮腺良性肿瘤患者的病例资料，回顾分析一般资料、手术治疗中不同因素及术后并发症的发生情况。采用SPSS17.0软件包对资料进行χ2检验。结果：术后积涎或涎瘘、面神经功能障碍及Frey综合征的发生与手术治疗中不同因素（手术切口、术中是否缝扎腺体残端、面神经解剖方式、手术切除范围及是否行胸锁乳突肌瓣转移修复等）之间具有显著相关性（P＜0.05）。结论：“N”形切口在解剖形态上不利于术后常规引流渗出液，需配合负压引流管，以减少术后积涎的发生。缝扎腺体残端能有效避免术后积涎及涎瘘的发生。顺行法解剖面神经及腮腺肿瘤区域性切除能加快手术速度，减少面神经的解剖量及暴露时间，从而减轻术后面神经功能障碍的发生。胸锁乳突肌瓣的转移修复能很好避免术后Frey综合征的发生。

关键词: 腮腺, 良性肿瘤, 并发症

Abstract: PURPOSE: To explore the related factors of postoperative complications of parotid benign tumor. METHODS: The medical records of 215 cases with surgical treatment of parotid benign tumor were collected, the general data and different factors in surgical treatment and occurrence of postoperative complications were reviewed. SPSS 17.0 software package was used for data analysis. RESULTS: There was significant correlation (P＜0.05) between parotid gland fistula, facial nerve paralysis, Frey's syndrome and different factors (surgical incision， transfixion of residual parotid gland, method of facial nerve dissection, extent of resection, and employment of sternocleidomastoid flap). CONCLUSIONS: "N" shaped incision is not beneficial to routine drainage after operation, suction drainage was effective to decrease parotid gland fistula; the transfixion of residual parotid gland can avoid fistula after surgery; anterograde method for dissection of facial nerve and partial superficial parotidectomy can accelerate the speed of surgery and decrease the time of exposure of the facial nerve, which reduce the facial nerve paralysis; sternocleidomastoid flap is beneficial to avoid Frey's syndrome after surgery.

Key words: Benign tumor of parotid gland, Surgical treatment, Retrospective analysis

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