这项回顾性研究的目的是比较使用三种不同器械进行浅表腮腺切除术的患者的手术结果:双极电灼术,超声,和混合能源仪器。考虑了2016年1月至2022年4月期间因良性肿瘤而接受浅表腮腺切除术的102例患者的临床记录。根据手术过程中使用的工具,将患者分为三个研究组:经典电灼止血组(CH组),超声仪器组(HA组),联合能量仪组(TB组)。手术的持续时间,术后引流总量,CH组的术中失血量明显高于HA组和TB组,而后两组间差异不显著。CH组有45.9%的面神经无力,HA组的12.5%,占结核病组的21.2%。CH组面神经功能紊乱率明显高于HA组(0.011)。在经历术后面神经功能障碍的患者中,与CH和TB组相比,HA组的恢复时间显著缩短.HA和TB组已证明与双极电灼术相比具有可比性且显着更好的手术结果。超声仪器已经被证明会导致,与其他技术相比,暂时性面神经功能障碍的发生率较低,如果这是存在的,导致更快的自发恢复时间。
The aim of this retrospective
study has been to compare the surgical outcomes of patients undergoing superficial parotidectomy with three different instruments: bipolar electrocautery, ultrasound, and mixed energy instruments. The clinical records of 102 patients who had undergone superficial parotidectomy for benign tumors between January 2016 and April 2022 were considered. Based on the tool used during the surgery, the patients were divided into three
study groups: classic electrocautery hemostasis group (CH group), ultrasonic instrument group (HA group), and combined energy instrument group (TB group). The duration of surgery, the total post-operative drainage volume, and the intra-operative blood loss were significantly higher in the CH group compared to the HA and the TB group, while the differences were not significant between the latter two groups. Facial nerve weakness was detected in 45.9% of the CH group, 12.5% of the HA group, and 21.2% of the TB group. The rate of facial nerve dysfunction in the CH group was significantly higher than in the HA group (0.011). In the patients who experienced post-operative facial nerve dysfunction, the recovery time was significantly shorter in the HA group compared to the CH and the TB group. The HA and TB groups have demonstrated comparable and significantly better surgical outcomes than bipolar electrocautery. Ultrasound instruments have been shown to cause, in comparison with the other techniques, a lower rate of temporary facial nerve dysfunction and, if this is present, lead to a faster spontaneous recovery time.