口腔医学研究

口腔医学研究 ›› 2015, Vol. 31 ›› Issue (7): 712-714.

• 临床研究论著 • 上一篇    下一篇

腮腺手术中顺行法与逆行法解剖对面神经功能影响的比较研究

区德明1*,吴颖2,刘军1,廖贵清3   

  1. 1. 广州市番禺区中心医院口腔科 广东 广州 511400;
    2. 广东省佛山市中医院口腔科;
    3. 中山大学附属口腔医学院口腔颌面外科
  • 收稿日期:2014-12-01 出版日期:2015-07-28 发布日期:2015-07-28
  • 通讯作者: 区德明,电话:020-34859293
  • 作者简介:区德明(1982~ ),男,汉族,广东人,主治医师,博士研究生,主要从事口腔科的临床治疗工作。

Effects of Dissection with Anterograde and Retrograde Methods on the Function of Facial Nerve in Parotidectomy

OU De-ming, WU Yin, LIU Jun, et al   

  1. Department of Stomatology, Center Hospital of Fanyu District, Guangzhou 511400
  • Received:2014-12-01 Online:2015-07-28 Published:2015-07-28

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摘要： 目的:比较腮腺手术中顺行法与逆行法解剖对面神经功能影响的差异。方法:腮腺浅叶良性肿瘤临床病例107例,随机采用顺行法(48例)与逆行法(59例)解剖面神经,统计手术时间、观察患者术后面瘫情况及统计神经功能恢复时间。结果:所有病例术后均无出现永久性面瘫,采用顺行法与逆行法解剖面神经完成手术所需的手术时间、术后暂时性面瘫的发生率及神经功能恢复所需的时间分别是:(46.33±4.85) min,14.58%,(2.04±0.95)个月;(42.51±4.23) min,33.90%,(2.47±0.97)个月。两种术式的手术时间差异无显著性;两种术式术后暂时性面瘫发生率及恢复时间(P<0.05)差异均存在显著性。结论:腮腺手术中熟练操作顺行法解剖面神经可有效减少面瘫的发生。

关键词: 腮腺良性肿瘤, 腮腺浅叶, 面神经解剖, 面瘫

Abstract: Objective: To compare the effects of dissection methods on the fanction of facial nerve in parotidectomy. Methods: 107 cases were randomly treated with anterograde (48 cases)and retrograde (59 cases)dissection methods. Operation time was calculated , and the ratio of facial paralysis and functional recovery period were observed. Results: Permanent facial paralysis didn’t happened in all cases. Operation time, the ratios of temporary facial paralysis and functional recovery period of the patients in anterograde group and retrograde group were 46.33±4.85min,14.58%,2.04±0.95 month and 42.51±4.23 min,33.90%,2.47±0.97 month. Operation time showed no significant difference, and the ratios of temporary facial paralysis and functional recovery period of the patients showed significant difference(P<0.05). Conclusion: Using anterograde dissection method adroitly in parotidectomy may be a better choice to reduce the functional damage of facial nerve.

Key words: Parotid benign tumor, Superficial lobe of parotid gland, Dissection of facial nerve, Facial paralysis

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