通讯作者: 郑兰芳, 867968341@qq.com

DOI：10.12201/bmr.202410.00072

Observation on the effect and nursing of endoscopic surgery for parotid gland tumors via the postauricular hairline approach

• 摘要：目的 对比经耳后发际线入路腔镜手术与传统开放手术治疗腮腺肿瘤的临床效果研究及护理。方法 选取2023年3月至2024年3月浙江省肿瘤医院开展的经耳后发际线入路腔镜手术和传统开放腮腺肿瘤切除术各30例，对比2组在手术时间、术中出血量、术后引流量、术后住院时间、术后并发症，护理满意度及术后1个月的切口满意度的区别。结果 腔镜组术后引流量、住院时间、术后并发症均低于开放组，差异有统计学意义（P＜0.05），而两组患者的手术时间、术中出血量无明显差异，腔镜组护理满意度及切口满意度显著大于开放组(P＜0.05)。结论 经耳后发际线入路腔镜组美容效果优于开放组，术后恢复快，住院时间短，术后并发症少；此外，腔镜组围手术期优化护理提升了患者满意度，临床值得推广。

  关键词： 腔镜 耳后发际入路 腮腺肿瘤

   

  Abstract: Objective: To compare the efficacy of endoscopic parotidectomy through a postauricular incision with conventional incision parotidectomy. Methods:Fifteen patients who underwent endoscopic parotidectomy through a postauricular incision and 30 patients who underwent conventional incision parotidectomy at Zhejiang Provincial Tumor Hospital between March 2023 and March 2024 were selected. The two groups were compared in terms of operation time, intraoperative blood loss, postoperative drainage volume, length of hospital stay, postoperative complications, nursing satisfaction, and incision satisfaction at one month postoperatively .Results:The study group had significantly lower drainage volume, hospital stay, and postoperative complications than the control group (P < 0.05). There was no significant difference in operation time or intraoperative blood loss between the two groups. The nursing satisfaction and incision satisfaction in the study group were significantly higher than those in the open group (P<0.05). Conclusion: The beauty effect of the endoscopic group was better than that of the open group, and the postoperative recovery was faster, the hospitalization time was shorter, and the postoperative complications were less. In addition, perioperative optimization nursing in the endoscopic group improved patient satisfaction, which is worth promoting clinically.

  Key words: Endoscope Postauricular Sialadenoma

  提交时间：2024-10-28

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• 序号	提交日期	编号	操作
  1	2024-08-02	bmr.202410.00072V1	下载

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