腮腺良性肿瘤浅叶部分切除术与浅叶切除术的循证医学分析

张敏; 贾志宇; 刘树妍; 赵云转; 屈鹏飞; 陈彪

doi:10.13201/j.issn.1001-1781.2019.09.019

腮腺良性肿瘤浅叶部分切除术与浅叶切除术的循证医学分析

- 1 张家口学院医学院(河北张家口, 075000);
- 2 河北医科大学第二医院口腔颌面外科;
- 3 日照市东港区妇幼保健计划生育服务中心

详细信息

通讯作者: 贾志宇,E-mail:jiazymd@sina.cn

中图分类号: R739.8

收稿日期: 2019-01-30

Partial superficial parotidectomy versus superficial parotidectomy for treatment of parotid benign tumors:evidence-based medicine analysis

- 1 Medical College of Zhangjiakou University, Zhangjiakou, 075000, China;
- 2 Department of Oral and Maxillofacial Surgery, the Second Hospital of Hebei Medical University;
- 3 Department of Obstetrics and Gynecology, Women and Children Health Care Hospital of Donggang, Rizhao

More Information

Corresponding author: JIA Zhiyu, E-mail: jiazymd@sina.cn

Received Date: 30 January 2019

摘要

摘要: 目的:比较腮腺浅叶部分切除术(PSP)和腮腺浅叶切除术(SP)的术后复发率及并发症发生率,为临床治疗腮腺浅叶良性肿瘤选择合适的术式提供理论依据。方法:在Pubmed、CNKI和万方数据库中检索比较PSP和SP手术方法的相关文献,采用RevMan 5.0软件进行Meta分析。结果:获得24篇文献用于Meta分析,共包括2 795例患者,其中1 301例接受PSP,1 494例接受SP。PSP和SP的术后复发率分别为1.14%(10/874)和0.6%(6/993),差异无统计学意义;PSP和SP术后暂时性面瘫的发生率分别为11.6%(122/1 052)和27.37%(350/1 279),永久性面瘫的发生率分别为1.04%(6/579)和4.46%(31/695),Frey综合征的发生率分别为9.20%(95/1 033)和30.32%(409/1 349),涎瘘的发生率分别为5.38%(37/688)和11.25%(65/578),PSP较SP发病率明显降低。结论:与SP相比,PSP并发症发生率低,而肿瘤的复发率并没有提高,提示在适应证选择正确的情况下,PSP可以取代SP用于腮腺良性肿瘤的治疗。
- 腮腺肿瘤 /
- 腮腺浅叶部分切除术 /
- 腮腺浅叶切除术 /
- Meta分析
Abstract: Objective: The aim of this study is to systematically assess the postoperative outcomes of partial superficial parotidectomy(PSP) and superficial parotidectomy(SP) by systematic literature review and Meta-analysis, and to provide a theoretical basis for the selection of the appropriate surgical approach in clinical process. Method: Relevant studies that compared the outcomes of PSP and SP for the parotid benign tumors were searched in Pubmed, CNKI and Wanfangdata databases, and Meta-analysis was performed using software RevMan 5.0. Result: 24 studies were selected for the Meta-analysis. A total of 2 795 participants were included in those studies, of whom 1 301 underwent PSP and 1 494 underwent SP. The recurrence rates for PSP and SP were 1.14%(10 of 874) and 0.6%(6 of 993), respectively. There were no statistically significant difference in recurrence rate between PSP and SP. The rates of transient facial nerve paresis for PSP and SP were 11.60%(122 of 1 052) and 27.37%(350 of 1 279), respectively. The rates of permanent facial nerve paralysis for PSP and SP were 1.04%(6 of 579) and 4.46%(31 of 695), respectively. The incidences of Frey's syndrome in PSP group and SP group were 9.20%(95 of 1 033) and 30.32%(409 of 1 349), respectively. The rate of salivary fistulafor PSP and SP were 5.38%(37 of 688) and 11.25%(65 of 578). PSP could reduce the risk for complications compared with SP. Conclusion: This systematic review with meta-analysis suggests that PSP has a similar recurrence rate as SP, but PSP can significantly reduce the postoperativecomplications.
- parotid neoplasms /
- partial superficial parotidectomy /
- superficial parotidectomy /
- Meta-analysis

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