山东大学耳鼻喉眼学报 ›› 2016, Vol. 30 ›› Issue (6): 46-48.doi: 10.6040/j.issn.1673-3770.0.2016.004

• 论著 • 上一篇    下一篇

腮腺良性肿瘤切除中胸锁乳突肌皮瓣的应用分析

周长华,桂明才,徐丹,刘波   

  1. 达州市中心医院耳鼻咽喉头颈外科, 四川 达州 635000
  • 收稿日期:2016-01-05 出版日期:2016-12-16 发布日期:2016-12-16
  • 作者简介:周长华. E-mail:dazhouent@163.com

Application of sternocleidomastoid flaps in the resection of benign parotid tumors.

ZHOU Changhua, GUI Mingcai, XU Dan, LIU Bo   

  1. Department of Otolaryngology &Head and Neck Surgery, Dazhou Central Hospital, Dazhou 635000, Sichuan, China
  • Received:2016-01-05 Online:2016-12-16 Published:2016-12-16

摘要: 目的 探讨腮腺良性肿瘤切除中胸锁乳突肌皮瓣的应用效果。 方法 选取腮腺良性肿瘤患者84例,以随机数字表法分成对照组和实验组,各42例。对照组接受常规腮腺切除术治疗,实验组常规切除腮腺病变后,采用胸锁乳突肌皮瓣转移填充术区凹陷行修复治疗。随访6~12个月,对比两组术后并发症发生率和肿瘤复发率。 结果 实验组术后并发症发生率14.29%,低于对照组的52.38%,差异有统计学意义(P<0.01)。两组肿瘤复发率差异无统计学意义(P>0.05)。 结论 在腮腺良性肿瘤切除中应用胸锁乳突肌皮瓣修复术区凹陷,可有效降低并发症风险,同时不影响手术效果,值得临床推广。

关键词: 腮腺良性肿瘤, 胸锁乳突肌皮瓣, 涎瘘, 术区凹陷畸形, 味觉出汗综合征

Abstract: Objective To investigate the application effect of sternocleidomastoid flaps in the resection of benign parotid tumors. Methods Eighty-four patients with benign parotid tumors were randomly divided into control group(n=42)and experimental group(n=42). The patients in control group were treated with traditional parotidectomy, while those in experimental group with sternocleidomastoid flap transferred to fill sunken operative area for repair after routine resection of parotid lesions. The follow-up was 6-12 months. The incidence of postoperative complications and tumor recurrence rate were compared in two groups. Results The incidence of postoperative complications in experimental group(14.29%)was significantly lower than that in control group(52.38%), and the difference was statistically significant(P<0.01). There was no statistical significance between two groups by comparison to the tumor recurrence rate(P>0.05). Conclusion Application of sternocleidomastoid flaps in benign parotid tumors to repair the sunken operative area can effectively reduce the risk of complications and the surgical effect isnt impacted, so it is worthy of promotion.

Key words: Benign parotid tumors, Sternocleidomastoid flaps, Sunken deformity in operative area, Salivary fistula, Freys syndrome

中图分类号: 

  • R739.6
[1] 许本柯, 舒先涛, 罗刚, 等. 胸锁乳突肌锁骨头的血供及应用解剖[J]. 解剖学杂志, 2006, 29(3):357-359. XU Benke, SHU Xiantao, LUO Gang, et al. Blood supply and applied anatomy of clavicular head of sternocleidomastoid[J]. Chin J Anatomy, 2006, 29(3):357-359.
[2] 葛娜, 郭传瑸, 俞光岩. 胸锁乳突肌上段的血供研究[J]. 现代口腔医学杂志, 2008, 22(2):126-128. GE Na, GUO Chuanbin, YU Guangyan. Vessel supply to the upper part of sternocleidomastoid muscle[J]. J Modern Stomatology, 2008, 22(2):126-128.
[3] 张锡泽, 邱蔚六. 口腔颌面外科学[M]. 2版. 北京:人民卫生出版社, 1980: 442.
[4] Sood S, Quraishi M S, Jennings C R, et al. Freys syndrome following parotidectomy: prevention using a rotation sternocleidomastoid muscle flap[J]. Clin Otolaryngol Allied Sci, 1999, 24(4):365-368.
[5] Singh N, Kohli M, Kohli H, et al. Innovative technique to reduce incidence of Freys syndrome after parotid surgery[J]. Am Surg, 2011, 77(3):351-354.
[6] Casler J D, Conley J. Sternocleidomastoid muscle transfer and superficial musculoaponeurotic system plication in the prevention of Freys Syndrome[J]. Larynoscope, 1991, 101(1):95-100.
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