Application of modified Z-shaped cosmetic incision in parotid benign tumor resection
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摘要: 目的 探讨改良Z形美容切口在腮腺良性肿瘤切除术中的安全性和美学效果。方法 采用前瞻性研究，将44例行腮腺良性肿瘤切除术的患者随机分为试验组(22例)和对照组(22例)。试验组采用改良Z形美容切口，对照组采用传统S形切口，比较2组在手术时长、住院天数、并发症以及颌面部美观方面的统计学差异。结果 试验组和对照组在性别、年龄、手术方式、病理类型比较，差异无统计学意义(P>0.05)；2组对手术持续时间、视觉模拟评分进行比较，差异有统计学意义(P < 0.05)，但住院天数、手术并发症及温哥华瘢痕量表评分比较，差异无统计学意义(P>0.05)。结论 改良Z形美容切口在改善腮腺良性肿瘤切除术后颌面部美观方面的效果更好，且与传统S形切口相比较，安全性一致，因此值得临床推广和应用。Abstract: Objective To explore the safety and aesthetic effect of modified Z-shaped cosmetic incision in parotid benign tumor resection.Methods A prospective study was conducted. A total of 44 patients with benign parotid tumor resection were randomly divided into experimental group(n=22) and control group(n=22). The experimental group underwent modified Z-shaped cosmetic incision, while the control group underwent the traditional S-shaped incision. The surgical duration, hospital stay, complications and maxillofacial aesthetics were compared between the two groups.Results There was no significant difference in gender, age, surgical method, pathological type between the experimental group and the control group(P>0.05). The maxillofacial aesthetics and surgical duration of the two groups was statistically significant(P < 0.05), while there was no statistically significant difference in terms of hospitalization days, surgical complications and Vancouver scar scale score (P>0.05).Conclusion The modified Z-shaped cosmetic incision has a better effect on improving the maxillofacial aesthetics after benign parotid tumor resection, and compared with the traditional S-shaped incision, the safety is consistent, so it is worthy of clinical promotion and application.
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Key words:
- parotid tumor /
- modified incision /
- cosmetic
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表 1 试验组和对照组基本数据比较
变量 试验组(22例) 对照组(22例) t/χ2 P 性别/例(%) 0.109 0.741 男 7(31.8) 6(27.3) 女 15(68.2) 16(72.7) 年龄/岁 55.04±9.11 47.39±11.22 1.017 0.247 手术方式/例(%) 0.419 0.517 腮腺肿瘤及浅叶切除+胸锁乳突肌瓣修复术 16(72.7) 14(63.6) 腮腺全切+胸锁乳突肌颈阔肌双蒂肌瓣修复术 6(27.3) 8(36.4) 病理类型/例(%) 多形性腺瘤 18(81.8) 16(72.8) 0.518 0.472 腺淋巴瘤 2(9.1) 3(13.6) 0.226 0.635 基底细胞腺瘤 2(9.1) 3(13.6) 0.226 0.635 
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表 2 试验组和对照组观察指标的比较
X±S 变量 试验组(22例) 对照组(22例) t/χ2 P 手术持续时间/min 140.23±10.69 120.18±5.77 11.044 < 0.001 住院天数/d 7.19±1.33 7.04±1.25 0.280 0.761 并发症/例(%) 暂时性面瘫 7(31.8) 5(22.7) 0.458 0.498 耳垂麻木 4(18.2) 3(13.6) 0.170 0.680 感染 0 0 - - 味觉出汗综合征 0 0 - - VAS/分 9.49±0.01 4.89±1.69 13.939 < 0.001 VSS/分 1.36±0.95 1.41±0.87 0.158 0.875
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