口腔疾病防治 ›› 2016, Vol. 24 ›› Issue (1): 29-32.doi: 10.12016/j.issn.2096-1456.2016.01.006

所属专题: 111

• 临床研究 • 上一篇    下一篇

胸锁乳突肌瓣联合人工生物膜修复腮腺切除术后缺损的临床观察

陆建荣1 , 班华杰1, 王代友2, 周辉辉1, 龙汝1, 覃树华1   

  1. 1.宜州市人民医院口腔科,广西 宜州(546300);
    2.广西医科大学附属口腔医院口腔颌面外科
  • 收稿日期:2015-10-08 出版日期:2016-01-20 发布日期:2016-01-20
  • 通讯作者: 王代友,主任医师,博士, Email:wangdaiyou@sina.com
  • 作者简介:陆建荣,主治医师,学士, Email:82355600@qq.com
  • 基金资助:
    广西省自然科学基金(2014GXNSFDA118022)

Clinical observation of sternocleidomastoid muscle flaps combined with artificial biological membrane reparing the defects after parotidectomy

LU Jian-rong, BAN Hua-jie, WANG Dai-you, ZHOU Hui-hui, LONG Ru, QIN Shu-hua   

  1. Department of Stomatology, People’s Hospital of Yizhou City, Yizhou 546300, China
  • Received:2015-10-08 Online:2016-01-20 Published:2016-01-20
  • Contact: WANG Dai-you, Email: wangdaiyou@sina.com, Tel: 0086-771-5358418

摘要: 目的 评价腮腺切除术后应用胸锁乳突肌瓣联合人工生物膜改善面部凹陷畸形、预防味觉出汗综合征的效果。方法 68例患者随机分为2组,修复组36例,采用胸锁乳突肌瓣联合人工生物膜修复腮腺切除术后创面;对照组32例,术后创面不做修复。随访6~24 个月,比较2组患者术后面部凹陷畸形及味觉出汗综合征的发生率。结果 修复组和对照组面部凹陷畸形发生率分别为8.33%(3/36)和81.25%(26/32),修复组低于对照组,差异具有统计学意义(χ2=36.83,P<0.05);修复组和对照组味觉出汗综合征的发生率分别为5.56%(2/36)和62.50%(20/32),修复组低于对照组,差异有统计学意义(χ2=25.10,P<0.05);2组均无颈部运动障碍发生。结论 胸锁乳突肌瓣联合人工生物膜修复腮腺切除术后缺损对改善术后面部凹陷畸形及预防味觉出汗综合征有显著效果。

关键词: 腮腺切除术; 术后缺损; 面部凹陷畸形; 味觉出汗综合征; 人工生物膜

Abstract: Objective To investigate therapeutic effects of sternocleidomastoid muscle flaps combined with artificial biological membrane in repairment of facial concave deformity and prevention of taste sweating syndrome after parotidectomy. Methods 68 cases of patients were randomly divided into two groups. The repair group, 36 cases, received the repair of partial sternocleidomastoid muscle flaps combined with artificial biological membrane, while the control group, 32 cases,had normal treatment without repairmen after parotidectomy. The two groups of patients were followed up for 6-18 months. The incidence of facial concave deformity and taste sweating syndrome were statistically compared and analyzed. Neck movements also were tested. Results The incidence rate of facial concave deformity was 8.33% (3/36) in the repair group and 81.25% (26/32) in the control group. Taste sweating syndrome occurred 5.56% (2/36) in the repair group and 62.50% (20/32) in the control group. Both the incidence rates between two groups had the significant difference(χ2=25.10, P<0.05). Neither of each group had dysfunction of neck movement. Conclusion Sternocleidomastoid muscle flap combined with artificial biological membrane repairing the defects of post-parotidectomymay significantly improve facial concave deformity and prevent taste sweating syndrome.

Key words: Parotidectomy; Postoperative defects; Facial concave deformity; Taste sweating syndrome; Artificial biological membrane

中图分类号: 

  • R782.05