口腔修复膜预防腮腺肿瘤术后味觉出汗综合征的疗效分析(1)
[摘要] 目的 探讨腮腺肿瘤术后口腔修复膜预防味觉出汗综合征的疗效。方法 方便选择该院2012年1月—2016年12月行手术治疗的腮腺肿瘤患者84例，随机分为观察组和对照组，每组42例，观察组应用口腔修复膜预防术后味觉出汗综合征，对照组常规处理，观察两组患者术后效果。结果 观察组患者术后味觉出汗综合征主观评价发生率2.4%、客观评价发生率4.8%，均低于对照组的19.1%、23.8%，差异有统计学意义(P<0.05)；觀察组术后暂时性面瘫发生率14.3%、涎瘘发生率7.1%、复发率2.4%，与对照组的16.7%、4.8%、4.8%相近，差异无统计学意义(P>0.05)。 结论 腮腺肿瘤术中应用口腔修复膜后，可将味觉出汗综合征发生率降低，改善患者预后，提升其生活质量。
[关键词] 口腔修复膜；腮腺肿瘤；味觉出汗综合征；预防
[中图分类号] R739 [文献标识码] A [文章编号] 1674-0742(2018)01(a)-0090-03
Analysis of the Effect of Oral Repair Membrane on the Postoperative Taste Sweating Syndrome of Parotid Gland Tumors
GOU Shu-yun
Nanchuan Hospital Affiliated to Chongqing Medical University， Chongqing， 408400 China
[Abstract] Objective This paper tries to observe the efficacy of parotid tumor postoperative oral repair membrane to prevent taste sweating syndrome. Methods 84 patients in the hospital from January 2012 to December 2016 for the surgical treatment of parotid tumors were convenient selected and randomly divided into observation group and control group， with 42 cases in each group， the observation group applied of prosthodontics membrane to prevent postoperative taste sweating syndrome and control group adopted conventional treatment， postoperative effects of the two groups of patients were observed. Results The rate of subjective evaluation of postoperative taste sweating syndrome in the observation group was 2.4 % and the objective evaluation rate was 4.8 %， which was lower than 19.1% and 23.8% in the control group(P<0.05). The incidence of temporary postoperative paresis in the observation group was 14.3%， the incidence of saliva fistula was 7.1%， and the recurrence rate was 2.4%， similar to that of the control group of 16.7%， 4.8% and 4.8%， with no statistical difference(P>0.05). Conclusion The application of oral biofilm in parotidectomy after the occurrence of gustatory sweating syndrome to reduce the rate and improve the prognosis of patients， which can improve the quality of life.
[Key words] Oral repair membrane； Parotid tumor； Gustatory sweating syndrome； Prevention
腮腺肿瘤在临床中较为常见，治疗时主要采用手术切除方法，具有良好的治疗效果，但术后并发症发生几率较高，其中最易发生的为味觉出汗综合征，多发于术后3～5个月，发病后，如闻到刺激气味，会影响术区皮肤，引发出汗、潮红等症状，影响患者的正常生活及工作，降低患者生活质量。近年来，临床非常重视腮腺肿瘤术后味觉出汗综合征的预防工作，研究指出，术中植入口腔修复膜具有预防该并发症的作用。因此，该院2012年1月—2016年12月行手术治疗的腮腺肿瘤患者84例，治疗时即应用口腔修复膜预防，效果较为理想，现报道如下。
1 资料与方法
1.1 一般资料
方便选择该院行手术治疗的腮腺肿瘤患者84例，男45例，女39例；年龄27～63岁，平均(42.8±2.7)岁；手术方式：浅叶切除39例，部分切除33例，全叶切除12例；肿瘤病理类型：混合瘤50例，腺淋巴瘤27例，血管瘤3例，肌上皮瘤2例，基底细胞腺瘤1例，乳头状囊腺瘤1例。纳入标准：①符合腮腺肿瘤诊断标准；②患者均自愿接受手术治疗；③对该研究知情同意。随机分为观察组和对照组，每组42例，两组患者基本资料相近，差异无统计学意义(P>0.05)。, http://www.100md.com(苟蜀云)
[关键词] 口腔修复膜；腮腺肿瘤；味觉出汗综合征；预防
[中图分类号] R739 [文献标识码] A [文章编号] 1674-0742(2018)01(a)-0090-03
Analysis of the Effect of Oral Repair Membrane on the Postoperative Taste Sweating Syndrome of Parotid Gland Tumors
GOU Shu-yun
Nanchuan Hospital Affiliated to Chongqing Medical University， Chongqing， 408400 China
[Abstract] Objective This paper tries to observe the efficacy of parotid tumor postoperative oral repair membrane to prevent taste sweating syndrome. Methods 84 patients in the hospital from January 2012 to December 2016 for the surgical treatment of parotid tumors were convenient selected and randomly divided into observation group and control group， with 42 cases in each group， the observation group applied of prosthodontics membrane to prevent postoperative taste sweating syndrome and control group adopted conventional treatment， postoperative effects of the two groups of patients were observed. Results The rate of subjective evaluation of postoperative taste sweating syndrome in the observation group was 2.4 % and the objective evaluation rate was 4.8 %， which was lower than 19.1% and 23.8% in the control group(P<0.05). The incidence of temporary postoperative paresis in the observation group was 14.3%， the incidence of saliva fistula was 7.1%， and the recurrence rate was 2.4%， similar to that of the control group of 16.7%， 4.8% and 4.8%， with no statistical difference(P>0.05). Conclusion The application of oral biofilm in parotidectomy after the occurrence of gustatory sweating syndrome to reduce the rate and improve the prognosis of patients， which can improve the quality of life.
[Key words] Oral repair membrane； Parotid tumor； Gustatory sweating syndrome； Prevention
腮腺肿瘤在临床中较为常见，治疗时主要采用手术切除方法，具有良好的治疗效果，但术后并发症发生几率较高，其中最易发生的为味觉出汗综合征，多发于术后3～5个月，发病后，如闻到刺激气味，会影响术区皮肤，引发出汗、潮红等症状，影响患者的正常生活及工作，降低患者生活质量。近年来，临床非常重视腮腺肿瘤术后味觉出汗综合征的预防工作，研究指出，术中植入口腔修复膜具有预防该并发症的作用。因此，该院2012年1月—2016年12月行手术治疗的腮腺肿瘤患者84例，治疗时即应用口腔修复膜预防，效果较为理想，现报道如下。
1 资料与方法
1.1 一般资料
方便选择该院行手术治疗的腮腺肿瘤患者84例，男45例，女39例；年龄27～63岁，平均(42.8±2.7)岁；手术方式：浅叶切除39例，部分切除33例，全叶切除12例；肿瘤病理类型：混合瘤50例，腺淋巴瘤27例，血管瘤3例，肌上皮瘤2例，基底细胞腺瘤1例，乳头状囊腺瘤1例。纳入标准：①符合腮腺肿瘤诊断标准；②患者均自愿接受手术治疗；③对该研究知情同意。随机分为观察组和对照组，每组42例，两组患者基本资料相近，差异无统计学意义(P>0.05)。, http://www.100md.com(苟蜀云)