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目的探究腮腺手术切除术中两种解剖方式对面神经功能的影响。方法 50例腮腺良性肿瘤患者,采取随机数字表法将其分为研究组与对照组,各25例。研究组患者采取于颞面干、颈面干及腮腺边缘腺体内末端分支间向内部解剖其他分支型腮腺浅叶切除术治疗,对照组患者采取于颞面干、颈面干解剖各分支行腮腺浅叶切除术治疗。对比两组患者术后面神经缺损及术后并发症情况,观察患者复发情况。结果随访发现,两组患者术后均未见复发。术后研究组患者面神经损伤率为4.00%,术后并发症率为0,对照组分别为24.00%、4.00%,研究组患者术后并发症率与对照组比较,差异无统计学意义(P>0.05);研究组面神经损伤率低于对照组,差异具有统计学意义(P<0.05)。结论腮腺良性肿瘤患者采取于颞面干、颈面干及腮腺边缘腺体内末端分支间向内部解剖其他分支型腮腺浅叶切除术治疗,可明显降低面神经损伤,安全可靠、并发症少、复发率低,可进行临床推广应用。
Objective To investigate the effects of two anatomical modalities on facial nerve function in parotid gland excision. Methods Fifty patients with parotid benign tumor were divided into study group and control group by random number table method, with 25 cases in each group. Patients in the study group were treated in the temporal branch of the trunk of the face, the trunk of the neck and the distal branches of the parotidectum in the marginal gland of the parotid gland. The control group was treated with branches of the temporal trunk and the trunk of the neck Parotid shunt treatment. Comparing the two groups of patients with facial nerve defect and postoperative complications, observe the recurrence of patients. Results Follow-up found no recurrence of the two groups of patients after surgery. The rate of facial nerve injury in postoperative study group was 4.00%, the postoperative complication rate was 0, and the control group was 24.00% and 4.00% respectively. There was no significant difference in postoperative complication rate between study group and control group (P > 0.05). The rate of facial nerve injury in the study group was lower than that in the control group, with statistical significance (P <0.05). Conclusions The patients with benign parotid gland tumor treated with temporal branches, neck dryness and end branches in the marginal gland of the parotid gland may be treated with the treatment of other branches of the parotid gland lobectomy, which can significantly reduce facial nerve injury, safety and reliability, fewer complications and recurrence Low rate, can be clinically applied.