小肠黏膜下层预防腮腺良性肿瘤术后味觉出汗综合征的疗效观察

doi:10.13701/j.cnki.kqyxyj.2019.08.012

口腔医学研究 ›› 2019, Vol. 35 ›› Issue (8): 772-775.DOI: 10.13701/j.cnki.kqyxyj.2019.08.012

小肠黏膜下层预防腮腺良性肿瘤术后味觉出汗综合征的疗效观察

刘坤, 闫广鹏, 陈俊文, 高鹏, 李军^*

新疆维吾尔自治区人民医院口腔颌面外科新疆乌鲁木齐 830000

收稿日期:2018-12-28 出版日期:2019-08-28 发布日期:2019-08-22
通讯作者: 李军,E-mail:kqlj2008@aliyun.com
作者简介:刘坤(1991~ ),河南周口人,硕士在读,主要从事颌面外科学研究工作。
基金资助:
新疆维吾尔自治区自然科学基金面上项目(编号:2016D01C099)

Therapeutic Effect of Small Intestinal Submucosa in Preventing Frey's Syndrome after Surgery of Parotid Benign Tumor

LIU Kun, YAN Guangpeng, CHEN Junwen, GAO Peng, LI Jun^*

Department of Oral and Maxillofacial Surgery, Xinjiang Uygur Autonomous Region People's Hospital, Urumqi 830000, China

Received:2018-12-28 Online:2019-08-28 Published:2019-08-22

摘要/Abstract

摘要： 目的:观察与评价小肠黏膜下层补片用于腮腺良性肿瘤预防术后味觉出汗综合征的临床效果。方法:选择63例腮腺良性肿瘤患者,根据患者术前意愿分为小肠黏膜下层补片治疗的观察组(32例)和无补片治疗的对照组(31例)。术后随访6~18个月,统计术后异物感情况,采取主观评价与客观评价的方法判断术后味觉出汗综合征的发生情况。结果:术后观察组与对照组患者味觉出汗综合征的主观评价阳性率分别为0%、19.35%,客观评价的阳性率分别为3.13%、48.39%,两组间相比,观察组均优于对照组,差异有统计学意义(P<0.05);术后异物感的两组间比较,差异无统计学意义(P>0.05)。结论:术中植入小肠黏膜下层补片可有效预防腮腺良性肿瘤术后味觉出汗综合征的发生,且方法简单,术后患者感觉舒适,值得临床推广使用。

关键词: 小肠黏膜下层, 腮腺, 良性肿瘤, 味觉出汗综合征

Abstract: Objective: To observe and evaluate the effect of small intestinal submucosa in preventing Frey's syndrome after surgery of parotid benign tumor. Methods: A total of 63 patients with benign parotid tumors were divided to two groups according to their inclination. The observation group used small intestinal submucosa after surgery while control group did not. There were 32 cases in the observation group and 31 cases in the control group. All cases were followed up 6 to 18 months after surgery to analyze the occurrence of Frey's syndrome and foreign body feeling. The occurrence of Frey's syndrome was evaluated by subjectively and objectively ways. Results: Positive rates of subjective evaluation were 0% in the observation group and 19.35% in the control group, and the positive rates of objective evaluation in two groups were 3.13% and 48.39%, respectively. The observation group was superior to the control group (P<0.05). There was no significant difference in the foreign body sensation between two groups (P>0.05). Conclusion: Using small intestinal submucosa patch in parotid benign tumor can effectively prevent the occurrence of Frey's syndrome after surgery, which is simple, comfortable and worthy of spread.

Key words: small intestinal submucosa, parotid gland, benign tumor, Frey syndrome

刘坤, 闫广鹏, 陈俊文, 高鹏, 李军. 小肠黏膜下层预防腮腺良性肿瘤术后味觉出汗综合征的疗效观察[J]. 口腔医学研究, 2019, 35(8): 772-775.

LIU Kun, YAN Guangpeng, CHEN Junwen, GAO Peng, LI Jun. Therapeutic Effect of Small Intestinal Submucosa in Preventing Frey's Syndrome after Surgery of Parotid Benign Tumor[J]. Journal of Oral Science Research, 2019, 35(8): 772-775.

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小肠黏膜下层预防腮腺良性肿瘤术后味觉出汗综合征的疗效观察

Therapeutic Effect of Small Intestinal Submucosa in Preventing Frey's Syndrome after Surgery of Parotid Benign Tumor

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