面神经监测在腮腺肿瘤切除术中应用的初步观察.pdfVIP

C皿N ARCH OTOLARYNGOL皿AD NECK SURG / January 2014,Vol.21 ,No.1 31 .-嚣… 面神经监测在腮腺肿瘤切除术中应用的初步观察 徐展，龙益兴，林开春，朱能，应根东 浙江省永康市第一人民医院耳鼻咽喉科，浙江永康 321300 [摘要] 目的探讨腮腺肿瘤切除术中应用神经监捕 on surgical complications ofparotidωmor resection applicated 对手术并发症影响。方法将30例病例随机分为A、 B两 with nerve monitor-ing. METHODS 30 cases were 组， A组行面神经监护下腮腺浅叶或腮腺全叶切除及面神 Randomly divided into A , B groups, A group of superficial 经解剖术， B组行无面神经监护下腮腺浅叶或腮腺全叶 parotidecωmyorp缸。tid whole leaf removal and facial nerve 切除及面神经解剖术。术后经0.5-3年随访，观察并发症 surgery with facial nerve monitoring, B group of superficial 和手术时间及出血量等情况。结果 术后并发症中皮下 parotidectomy or parotid whole leaf removal and facial 积液或涎凄:A组0例 (0%) ， B组l 例 (7.1%) ;面瘫:A组 nerve surgery without facial nerve monitoring. 0.5-3 years O， B组2例(14.3%) 0 Frey综合征:A组0 ， B组0，出血量: of postoperative follow-up observation of complications and A组(50.3:1: 2 .4)时， B组(75.8 :t 2.6) ml。手术时间:A组 operative time and bleeding and so on. RESULTS seroma (1.3:t 0.2) h , B组(1.8 土 0.2) h。两组并发症比较无统计 or salivary fìstula ofpostoperativeωmpli四，tions: 0 cωes inA 学意义(P0.05) ， 出血量、手术时间比较有统计学意义 gro叩(0%)， 1 cases in B group (7.1%); facial paralysis: 0 cases (P0.05) 。结论腮腺肿瘤切除术中应用面神经监测，对 in A group (1俐， 2ωes in B group (14.3% ). Frey syndrome: 面神经走形准确判断，减少手术操作，手术时间及出血量 0ωses in A group (0%), 0 cωes in B group (0%), bleeding: A 减少，有一定优越性。 groupσ0.3:t 2.4) ml ,B group (75.8 :t 2必) ml. Operative time: A [关键词] 腮腺肿瘤;面神经损伤;外科手术;面神经监测 group (1.3:t0.2) h , B group, (1.8 :t0.2) h. Complications in the two groups were not statistically si伊ifìcant (P0.05), bleeding Preliminary observations in parotid tumor resection and operative time were statistically significant (P0.05). applicated with