改良Z形美容切口在腮腺良性肿瘤切除术中的应用研究
Application of modified Z-shaped cosmetic incision in parotid benign tumor resection
罗晓 1姜健 2高珊 1窦明亮 1廖佳利1
作者信息
- 1. 成都市第五人民医院耳鼻喉头颈外科(成都,611130)
- 2. 四川省肿瘤医院头颈外科
- 折叠
摘要
目的:探讨改良Z形美容切口在腮腺良性肿瘤切除术中的安全性和美学效果.方法:采用前瞻性研究,将44例行腮腺良性肿瘤切除术的患者随机分为试验组(22例)和对照组(22例).试验组采用改良Z形美容切口,对照组采用传统S形切口,比较2组在手术时长、住院天数、并发症以及颌面部美观方面的统计学差异.结果:试验组和对照组在性别、年龄、手术方式、病理类型比较,差异无统计学意义(P＞0.05);2组对手术持续时间、视觉模拟评分进行比较,差异有统计学意义(P＜0.05),但住院天数、手术并发症及温哥华瘢痕量表评分比较,差异无统计学意义(P＞0.05).结论:改良Z形美容切口在改善腮腺良性肿瘤切除术后颌面部美观方面的效果更好,且与传统S形切口相比较,安全性一致,因此值得临床推广和应用.
Abstract
Objective:To explore the safety and aesthetic effect of modified Z-shaped cosmetic incision in pa-rotid benign tumor resection.Methods:A prospective study was conducted.A total of 44 patients with benign pa-rotid tumor resection were randomly divided into experimental group(n=22)and control group(n=22).The ex-perimental group underwent modified Z-shaped cosmetic incision,while the control group underwent the tradition-al S-shaped incision.The surgical duration,hospital stay,complications and maxillofacial aesthetics were com-pared between the two groups.Results:There was no significant difference in gender,age,surgical method,pathological type between the experimental group and the control group(P＞0.05).The maxillofacial aesthetics and surgical duration of the two groups was statistically significant(P＜0.05),while there was no statistically sig-nificant difference in terms of hospitalization days,surgical complications and Vancouver scar scale score(P＞0.05).Conclusion:The modified Z-shaped cosmetic incision has a better effect on improving the maxillofacial aes-thetics after benign parotid tumor resection,and compared with the traditional S-shaped incision,the safety is consistent,so it is worthy of clinical promotion and application.
关键词
腮腺肿瘤/改良切口/美容Key words
parotid tumor/modified incision/cosmetic引用本文复制引用
基金项目
四川省科技计划应用基础研究项目(2022NSFSC0687)
出版年
2024
NETL
NSTL
万方数据