摘要
目的探析超声刀与单极电刀对腮腺浅叶切除术患者临床效果。方法对2017年3月至2020年3月经三门峡中心医院口腔科收治的行腮腺浅叶切除术的80例腮腺浅叶良性肿瘤患者实施研究,循完全区化原则设单极电刀组及超声刀组,单极电刀组使用单极电刀实施腮腺浅叶切除术,超声刀组则使用超声刀开展腮腺浅叶切除术,比较两组手术指标、面神经功能保护效果及术后并发症。结果超声刀组手术时间、术中出血量及术后引流量间较单极电刀组均更低(P<0.05);超声刀组面神经保护效果相比单极电刀组更好(P<0.05);两组均出现暂时性面瘫及涎瘘,永久性面瘫均未发生,但两组术后并发症发生率比较差异无统计学意义(P>0.05),针对暂时性面瘫,二者术后均实施神经营养治疗及面肌功能训练,于2个月内均已痊愈;针对涎瘘,给予0.5mg阿托品餐前口服配合使用弹力绷带加压,在良好饮食习惯保持下,患者均于4周内好转至康复。结论应用超声刀实施腮腺浅叶切除术,相比单极电刀而言,可缩短手术时间,降低术中出血量及术后引流量,且面神经功能保护效果较好,术后涎瘘、暂时性面瘫等并发症发生较少。
Objective To explore and analyze the protective effect of ultrasonic knife and monopolar electrotome on the facial nerve of patients undergoing superficial parotidectomy.Methods Totally 80 patients with superficial parotid benign tumors who underwent superficial parotidectomy in the department of stomatology,Sanmenxia Central Hospital,between March 2017 and March 2020 were selected for the study.The monopolar electrotome group and the ultrasonic knife group were set up according to the principle of complete regionalization.The monopolar electrotome group applied a monopolar electrotome to perform superficial parotidectomy while the ultrasonic knife group performed a superficial parotidectomy using ultrasonic knives.The surgical indicators,the protective effect of facial nerve function and postoperative complications were compared between the two groups.Results The surgical time,intraoperative blood loss and postoperative drainage volume in the ultrasonic knife group were lower than those in the monopolar electrotome group(P<0.05).In addition,the protective effect of the facial nerve in the ultrasonic knife group was better than that in the monopolar electrotome group(P<0.05).Temporary facial paralysis and salivary fistula occurred in both groups,and permanent facial paralysis did not occur,but there were no significant differences in the incidence rates of postoperative complications between the two groups(P>0.05).Patients with temporary facial paralysis performed neurotrophic therapy and facial muscle function training,and healed within 2 months.Patients with salivary fistula were given oral administration of 0.5mg atropine before meals and compressed with elastic bandages,and they were improved to recovery within 4 weeks under the maintenance of a good diet.Conclusion Compared with monopolar electrotome,the use of the ultrasonic knife to perform superficial parotidectomy can better shorten the surgical time and reduce intraoperative blood loss and postoperative drainage volume,and better protective effect of fa
作者
孙明星
赵军方
SUN Ming-xing;ZHAO Jun-fang(Department of Stomatology,Sanmenxia Central Hospital,Sanmenxia 472000,Henan Province,China;Oral and Maxillofacial Surgery,The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,Henan Province,China)
出处
《罕少疾病杂志》
2021年第3期31-32,50,共3页
Journal of Rare and Uncommon Diseases
关键词
腮腺浅叶切除术
腮腺浅叶良性肿瘤
超声刀
单极电刀
Superficial Parotidectomy
Superficial Parotid Benign Tumors
Ultrasonic knife
Monopolar Electrotome
