PDF(Pubmed)
Abstract：
To evaluate the difference in average operating time and intraoperative blood loss in transcervical submandibular gland excision for isolated benign submandibular diseases, while preserving the facial artery and ligating the facial artery. A prospective study was conducted in our institute for a duration of 6 months from January 2022 to June 2022. 30 patients undergoing excision of the submandibular gland as an isolated procedure were included. They were randomly divided into 2 groups of 15, Group \"A\" where the facial artery was preserved, and \"B\" where the artery was ligated. The operating time in minutes and intra operative blood loss was compared. The mean operating time was 48.26 min in Group A, and 46.2 min in Group B. The p value between the two groups was 0.189586, which was not significant. The mean blood loss in group A was 44.6 ml, and 45.8 ml in group B. The p value was not significant at 0.331254. Preserving the facial artery in benign tumours while excising the gland neither increases operating time nor intraoperative bleeding. This will not only retain the anatomy, but provide a second option for flap reconstruction in case needed later.
摘要：
评价经颈椎下颌下腺切除术治疗单纯性颌下腺良性疾病的平均手术时间和术中出血量的差异。同时保留面部动脉并结扎面部动脉。从2022年1月至2022年6月，我们在我们的研究所进行了为期6个月的前瞻性研究。包括30例接受下颌下腺切除术的患者。他们被随机分为2组，每组15人，即保留面部动脉的“A”组，和动脉结扎的\"B\"。比较了以分钟为单位的手术时间和术中失血量。A组平均手术时间48.26min,B组46.2min,两组间p值为0.189586,差异无统计学意义。A组平均失血量为44.6ml,B组P值为45.8ml,P值为0.331254,无显著性差异。切除腺体时保留良性肿瘤中的面动脉既不会增加手术时间也不会增加术中出血。这不仅会保留解剖结构，但是在以后需要的情况下，为皮瓣重建提供第二种选择。
