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时间:2020-03-27
《沿下颌缘支逆向解剖面神经在腮腺肿瘤手术中的临床意义.doc》由会员上传分享,免费在线阅读,更多相关内容在工程资料-天天文库。
1、沿下颌缘支逆向解剖面神经在腮腺肿瘤手术中的临床音义【摘要】目的:探讨腮腺肿瘤手术中采用沿下颌缘支逆向解剖面神经方法的临床意义。方法:选取2008年6月-2012年12月笔者所在医院收治的腮腺肿瘤患者86例进行分析。86例患者均进行沿下颌缘支逆向解剖面神经手术治疗方法,86例患者中24例为腮腺全部切除,62例患者为腮腺浅叶切除,手术后对全部患者进行8〜66个月的术后随访,严格准确记录患者术后恢复效果。结果:86例患者整体治疗效果良好,均未复发,手术治疗后发生腮腺痿患者4例,2〜3周后全部治愈;后续随访记录结果显示,8
2、6例患者无感染、术后严重感染以及永久性面瘫患者。结论:腮腺肿瘤患者手术治疗中,沿下颌缘支逆向解剖面神经手术方法是一种临床治疗效果较好的方法,这种解剖治疗方法的解剖标志要比传统的解剖方法更加容易准确找到,治疗后患者一般不会发生面瘫等严重的后遗症。【关键词】腮腺肿瘤;面神经;下颌缘支中图分类号R781.7文献标识码B文章编号1674-6805(2014)24-0099-03TheClinicalSignificanceofAlongtheMandibularMarginoftheReversetheAnatomyoft
3、heFacialNerveinParotidNeoplasms/NIHai-lin,ZIIOUBin,WUSong.//ChineseandForeignMedicalResearch,2014,12(24):99-101[Abstract]Objective:Toinvestigatetheclinicalsignificanceofalongthemarginalmandibularbranchoffacialnerveanatomymethodofreverseoperationofparotidneopla
4、sms.Method:86casesofparotidneoplasmsfromJune2008toDecember2012inourhospitaiwereselected.The86patientswereperformedalongthemarginalmandibularbranchoffacialnerveanatomyoperationreversetreatment,86patientsin24casesofparotidtotalresection,62patientswithsuperficial
5、parotidectomy.Aftertheoperation,al1patientswouldbefollowedupfor8to66months.Thepostoperativerecoveryeffectwerestrictandaccuraterecorded.Result:Effectsof86casesofpatientswiththeoveralltreatmentweregood・Norecurrenceoccurred,4patientswithparotidfistulaoperationwer
6、ecuredintwotothreeweeks.Follow-uprecordshowsthat86pa/tientshadnoseriousinfection,postoperativeinfectionsandpermanentfacialparalysispatients.Conclusion:Operationinthetreatmentofpatientswithparotidneoplasmsalongthemarginalmandibularbranchoffacialnerveanatomymeth
7、odofreverseoperationmethodhasabetterclinicaltherapeuticeffect.Treatmentofthisanatomicallandmarksmakesmoreeasilytofindaccuratethanthatoftraditionalanatomicalmethod.Aftertreatment,patientswithseverefacialparalysissequelaegenerallydoesnotoccur.【Keywords]Parotidne
8、oplasms;Facialnerve;MarginalmandibularbranchFirst-authorJsaddress:ThePeople'sHospitalofJurongCity,Jurong212400,China根据相关医学统计研究结果,涎腺肿瘤患者中,80%为腮腺肿瘤患者,并且普遍为良性肿瘤,仅有不到20%的患者为恶性肿瘤,其临床治疗一
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