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    韩立显, 马新亮, 朱守莉, 周洲, 钱苏辉, 殷秀琴, 常秀林, 刘宝森. 胸锁乳突肌瓣联合异体脱细胞真皮基质 预防腮腺部分切除术后Frey综合征的临床观察[J]. 蚌埠医科大学学报, 2015, 40(3): 345-347. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.016
    引用本文: 韩立显, 马新亮, 朱守莉, 周洲, 钱苏辉, 殷秀琴, 常秀林, 刘宝森. 胸锁乳突肌瓣联合异体脱细胞真皮基质 预防腮腺部分切除术后Frey综合征的临床观察[J]. 蚌埠医科大学学报, 2015, 40(3): 345-347. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.016
    shu
    HAN Li-xian, MA Xin-liang, ZHU Shou-li, ZHOU Zhou, QIAN Su-hui, YIN Xiu-qin, CHANG Xiu-lin, LIU Bao-sen. The effect of sternocleidomastoid flap combined with amorphous decellularized dermal matrix on the prevention of Frey syndrome after partial parotidectomy[J]. Journal of Bengbu Medical University, 2015, 40(3): 345-347. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.016
    Citation: HAN Li-xian, MA Xin-liang, ZHU Shou-li, ZHOU Zhou, QIAN Su-hui, YIN Xiu-qin, CHANG Xiu-lin, LIU Bao-sen. The effect of sternocleidomastoid flap combined with amorphous decellularized dermal matrix on the prevention of Frey syndrome after partial parotidectomy[J]. Journal of Bengbu Medical University, 2015, 40(3): 345-347. DOI: 10.13898/j.cnki.issn.1000-2200.2015.03.016
    shu

    胸锁乳突肌瓣联合异体脱细胞真皮基质 预防腮腺部分切除术后Frey综合征的临床观察

    The effect of sternocleidomastoid flap combined with amorphous decellularized dermal matrix on the prevention of Frey syndrome after partial parotidectomy

      摘要
    • 摘要: 目的:探讨胸锁乳突肌瓣联合应用异体脱细胞真皮基质(ADM)医用组织补片预防腮腺部分切除术后Frey综合征的临床应用效果。方法:103例腮腺良性肿瘤患者随机分成腮腺部分切除术+胸锁乳突肌肌筋膜瓣转移修复术组(A组)和腮腺部分切除术+胸锁乳突肌肌筋膜瓣转移修复术+ADM修复术组(B组)各35例,不采用任何修复方式直接关闭手术创面组(C组)33例。随访6～42个月。统计3组患者术后半年碘-淀粉试验阳性例数和主观评价阳性例数。结果:A组和C组复查时碘-淀粉试验阳性率和主观评价阳性率均明显高于B组(P<0.01),而C组患者碘-淀粉试验阳性率和主观评价阳性率均明显高于A组(P<0.01)。结论:应用胸锁乳突肌肌筋膜瓣转移修复术预防腮腺部分切除术后Frey综合征的效果满意,联合应用ADM则能取得更好的临床疗效。

       

      Abstract: Objective:To explore the clinical effects of sternocleidomastoid flap combined with amorphous decellularized dermal matrix(ADM) medical organization patch in the prevention of Frey syndrome after partial parotidectomy.Methods:One hundred and three patients with parotid benign tumor were randomly divided into the experiment group A and B(35 cases each group) and group C(33 cases).Group A and B were treated with sternocleidomastoid flap and sternocleidomastoid flap combined with ADM,respectively.The wounds in group C were directly closed without any repair.All patients were followed up for 6 to 42 months.The positive cases of iodine-starch test and subjective evaluation in 3 groups were observed in 6 months after operation.Results:The positive rates of iodine-starch test and subjective evaluation in group A and C were higher than those in group B(P<0.01),the positive rates of iodine-starch test and subjective evaluation in group C were higher than those in group A(P<0.01).Conclusions:The effect of sternocleidomastoid flap in the prevention of Frey syndrome after parotidectomy is good,but the preventive effect of sternocleidomastoid flap combined with ADM is better.

       

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