摘要
目的:探究改良倒“V”形防皱切口腮腺肿瘤切除术的临床及美学效果。方法:选取2016年10月-2019年10月笔者医院收治的60例腮腺肿瘤患者为研究对象,按随机数字表法分为观察组和对照组,各30例。对照组采用常规“S”切口进行腮腺肿瘤切除,观察组采用改良倒“V”形防皱切口进行腮腺肿瘤切除。比较两组手术时间、术后当日引流量、术中出血量、住院时间、手术切口长度、术后美学效果[温哥华瘢痕量表(Vancouver scar scale,VSS)、患者瘢痕评价量表(Patient scar appraise scale,PSAS)、观察者瘢痕评价量表(Observer scar assessment scale,OSAS)]、生活质量(华盛顿医科大学生存质量量表)及并发症发生率。结果:观察组手术切口长度低于对照组(P<0.05)。术后3、6个月,观察组VSS、PSAS、OSAS评分低于对照组(P<0.05)。术后6个月,观察组外貌、表情评分低于术前,但高于对照组(P<0.05);两组术后疼痛、活动能力、娱乐、肩部功能、工作、咀嚼、语言清晰度评分均低于术前(P<0.05),但组间比较,差异无统计学意义(P>0.05)。两组并发症总发生率比较差异无统计学意义(P>0.05)。结论:改良倒“V”形防皱切口能明显改善腮腺肿瘤切除患者术后美学效果,且有较高的安全性,临床价值较高。
Objective To explore the clinical and aesthetic effects of improved inverted V-shaped crease-resistant incision in parotidectomy.Methods A total of 60 patients with parotid tumor admitted to the author's hospital from October 2016 to October 2019 were selected as the research objects.According to the random number table method,they were divided into the observation group and the control group,with 30 cases in each group.The control group underwent parotidectomy with conventional S-shaped incision,while the observation group underwent parotidectomy with improved inverted V-shaped crease-resistant incision.The operation time,drainage volume on the day after operation,intraoperative blood loss,hospitalization time,length of surgical incision,postoperative aesthetic effect[Vancouver scar scale(VSS),patient scar appraise scale(PSAS),observer scar assessment scale(OSAS)],quality of life(Washington medical university quality of life scale),and the incidence of complications were compared between the two groups.Results The length of surgical incision in the observation group was lower than that in the control group(P<0.05).At 3 and 6 months after operation,the VSS,PSAS,and OSAS scores in the observation group were lower than those in the control group(P<0.05).At 6 months after operation,the scores of appearance and expression in the observation group were lower than those before operation,but higher than those in the control group(P<0.05).The postoperative scores of pain,mobility,recreation,shoulder function,work,chewing,and language clarity in the two groups were lower than those before operation(P<0.05),but there was no significant difference between the two groups(P>0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion The modified inverted V-shaped crease-resistant incision can obviously improve the postoperative aesthetics of patients with parotid tumor resection,and has higher safety and higher clinical value.
作者
刘星星
董晨
高蒙
邱建华
冯建侠
LIU Xingxing;DONG Chen;GAO Meng;QIU Jianhua;FENG Jianxia(Department of Otorhinolaryngology Head and Neck Surgery,Xijing Hospital,the First Affiliated Hospital of Air Force Medical University,Xi'an 710032,Shaanxi,China)
出处
《中国美容医学》
CAS
2024年第10期105-108,共4页
Chinese Journal of Aesthetic Medicine
基金
陕西省临床医学研究中心项目[编号:陕科社发【2015】219号]。
关键词
改良倒“V”形切口
“S”形切口
腮腺肿瘤
切除
美学效果
improved inverted V-shaped incision
S-shaped incision
parotid gland tumor
excision
aesthetic effect
