[1]李 伟,杜晓康,黄 琦.改良式美容切口在腮腺切除术患者中的应用及术后并发症的影响因素分析[J].中国美容医学,2022,(9):79-83.
 LI Wei,DU Xiaokang,HUANG Qi.Application of Modifi ed Cosmetic Incision in Patients Undergoing Parotidectomy and Analysis of Infl uencing Factors of Postoperative Complications[J].Medical Aesthetics and Beauty,2022,(9):79-83.
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改良式美容切口在腮腺切除术患者中的应用及术后并发症的影响因素分析()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2022年9期
页码:
79-83
栏目:
出版日期:
2022-09-10

文章信息/Info

Title:
Application of Modifi ed Cosmetic Incision in Patients Undergoing Parotidectomy and Analysis of Infl uencing Factors of Postoperative Complications
文章编号:
1008-6455(2022)09-0079-05Application of
作者:
李 伟杜晓康黄 琦
(宿州市皖北煤电集团总医院医院口腔科 安徽 宿州 234000)
Author(s):
LI Wei DU Xiaokang HUANG Qi
(Department of Stomatology, General Hospital of Wanbei Coal and Power Group, Suzhou 234000, Anhui,China)
关键词:
腮腺切除术改良式美容切口美观效果并发症危险因素
Keywords:
parotidectomy modified cosmetic incision aesthetic effect complications risk factors
分类号:
R782
文献标志码:
A
摘要:
目的:观察改良式美容切口在腮腺切除术患者中的美观效果并分析术后并发症的影响因素。方法:选择2016年4月-2020年4月笔者医院收治的80例腮腺良性肿瘤患者为研究对象,使用随机数字表法将患者分为观察组(40例)和对照组(40例)。对照组采用传统腮腺切除术,观察组在改良式美容切口下行腮腺切除术。记录术后1 d、术后3个月两组温哥华瘢痕量表(Vanconver scar scale,VSS)、患者与观察者瘢痕评价量表(Patient and observer scar assessment scale, POSAS)评分;记录两组术中出血量、术后当天引流量、手术时间、住院时间及手术切口长度;观察并记录两组术后并发症发生情况,根据术后患者是否发生并发症将其分为并发症组(23例)和无并发症组(57例),采取非条件Logistic逐步回归分析腮腺切除术后患者发生并发症的危险因素。结果:与对照组相比,观察组术后1 d、术后3个月的VSS、POSAS评分均较低;与对照组相比,观察组术中出血量较小、手术时间较短,术后1 d、术后3个月手术切口长度较短;与对照组相比,观察组术后并发症总发生率较低,差异均有统计学意义(P<0.05)。经单因素分析,与无并发症组相比,肿瘤位置在耳前、肿瘤全切、翻瓣未保留筋膜、肿瘤部位手术次数≥3次的患者比例较高,差异均有统计学意义(P<0.05);多因素Logistic回归性分析显示,肿瘤位置在耳前、肿瘤全切、翻瓣未保留筋膜、肿瘤部位手术次数≥3次是腮腺切除术后发生并发症的危险因素。结论:与传统腮腺切除术相比,改良式美容切口下行腮腺切除术有利于缩短手术时间、减少术中出血和术后并发症,还具有较好的术后美观效果。此外,肿瘤位置在耳前、肿瘤全切、翻瓣未保留筋膜及肿瘤部位手术次数≥3次可能是腮腺切除术后发生并发症的危险因素,临床医师应当密切关注。
Abstract:
Objective To observe the aesthetic effect of modified cosmetic incision in patients undergoing parotidectomy and analyze the influencing factors of postoperative complications. Methods A total of 80 patients with benign parotid gland tumors admitted to our hospital from April 2016 to April 2020 were selected as the research subjects, and were divided into the observation group (40 cases) and the control group (40 cases) by random number table method. The control group was treated with traditional parotidectomy, while the observation group was treated with modified cosmetic incision.The Vancouver Scar Scale (VSS) and Patient and Observer Scar Assessment Scale (POSAS) scores of the two groups were recorded 1 day and 3 months after surgery. Intraoperative blood loss, postoperative daily drainage, operation time, hospital stay and incision length were recorded in both groups.Intraoperative blood loss, postoperative daily drainage, operation time, hospital stay and incision length were recorded in both groups. The occurrence of postoperative complications in the two groups was observed and recorded. According to the occurrence of postoperative complications, the patients were divided into the complication group (23 cases) and the group without complications (57 cases). The risk factors of complications after parotidectomy were analyzed by unconditional Logistic stepwise regression. Results Compared with the control group, the scores of VSS and POSAS were lower in the observation group 1d and 3 months after surgery. Compared with the control group, the observation group had less intraoperative blood loss, shorter operation time and shorter incision length 1d and 3 months after operation. Compared with the control group, the total incidence of postoperative complications was lower in the observation group,the differences were statistically significant(P<0.05). According to univariate analysis, compared with the group without complications, the proportion of patients with tumor in preauricular area, total tumor resection, unreserved flap fascia, and tumor site surgery≥3 times was higher,the differences were statistically significant(P<0.05).Multivariate Logistic regression analysis showed that the tumor location in front of ear, total tumor resection, unreserved fl ap fascia, and the number of surgeries on the tumor site ≥3 were risk factors for complications after parotidectomy (P<0.05). Conclusion Compared with the traditional parotidectomy, modified incision hairdressing downward parotidectomy and shorten operation time, reduce intraoperative bleeding and postoperative complications, and also has better postoperative cosmetic results, and tumor location in front of the ear, and cut all tumors, double disc not retain fascia, tumor location, surgical number 3 times or more is a risk factor for complications after parotidectomy, clinicians should pay close attention

相似文献/References:

[1] 周明月 综述,杨 森审校. 腮腺肿瘤的美学切除技术研究进展[J].中国美容医学,2021,(5):181.
  ZHOU Ming-yue,YANG Sen. Research Progress of Aesthetic Resection Techniques for Parotid Gland Tumors[J].Medical Aesthetics and Beauty,2021,(9):181.
[2]晋志伟,周立生.改良S形切口入路腮腺切除术治疗腮腺肿瘤的美学效果研究[J].中国美容医学,2022,(5):36.
 JIN Zhiwei,ZHOU Lisheng.Aesthetic Effect of Parotidectomy Through Modified S-shaped Incision in the Treatment of Parotid Gland Tumors[J].Medical Aesthetics and Beauty,2022,(9):36.

更新日期/Last Update: 2022-09-21