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摘要: 目的 探讨改良面部除皱切口在腮腺良性肿瘤切除术中的安全性和美容效果。方法 采用前瞻性研究，将63例良性腮腺肿瘤患者随机分为实验组和对照组，实验组采用改良面部除皱切口，对照组采用经典“S”型切口，统计两组手术时间、术中出血量、术后总引流量、术后住院天数、术后并发症以及美观满意度等指标，并对其结果进行评估。结果 在手术时间、术中出血量、术后总引流量、术后住院天数、术后并发症等指标上，两组间差异无统计学意义(P>0.05)。在美观满意度方面，实验组明显优于对照组，两组间差异有统计学意义(P< 0.05)。结论 改良面部除皱切口与经典“S”型切口相比，安全性一致，美观满意度高，在美容学上具有积极的意义。Abstract: Objective To explore the safety and aesthetic effect of modified facelift incision in parotidectomy for benign parotid tumors.Methods By prospective study, 63 patients with benign parotid tumor were randomly divided into experimental group and control group. The experimental group underwent modified facelift incision(MFI), while the control group underwent Blair incision(BI). The operation time, bleeding volume, total postoperative drainage, length of postoperative hospital stay, postoperative complications and aesthetic satisfaction of the two groups were counted and evaluated.Results There were no statistically significant differences in the operative time, bleeding volume, total postoperative drainage, length of postoperative hospital stay, postoperative complications between the two group(P>0.05). In terms of aesthetic satisfaction, the experimental group was significantly better than the control group, and the difference between the two groups was statistically significant(P< 0.05).Conclusion Compared with the BI, the MFI has the same safety and higher aesthetic satisfaction, which has positive significance in cosmetology.
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表 1 两组手术观察指标比较
X±S 指标 实验组 对照组 t值/χ2 P值 手术时长/min 92.30±28.57 90.03±23.93 0.35 0.73 术中出血量/mL 26.21±5.98 27.76±5.81 0.57 0.57 总引流量/mL 47.76±15.15 45.38±14.11 0.64 0.52 术后住院天数/d 3.83±0.79 4.12±0.76 1.46 0.15 切口满意度/分 8.03±1.37 7.18±1.53 2.33 0.02 并发症/例 暂时性面瘫 9 5 1.54 0.22 耳垂麻木 5 2 0.34 0.56 
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