《头颈外科医学论文范文汇总》由会员分享，可在线阅读，更多相关《头颈外科医学论文范文汇总（28页珍藏版）》请在金锄头文库上搜索。
1、医学论文发表 创新医学网 http:/ 42 例分析来源：医学论文发表创新医学网 http:/ 作者单位：海南省农垦总医院头颈外科，海南 海口 570311;海南医学院公共卫生学院卫生统计学教研室，海南 海口 571101;海南省农垦总医院皮肤科，海南 海口 570311【摘要】目的：探讨电离子微创法治疗头颈部皮脂腺囊肿的临床效果。方法：将 2005 年 6 月2009 年 6 月治疗的头颈部皮脂腺囊肿 81 例，随机分为试验组 42 例(使用电离子微创法治疗) ，对照组 39 例(进行常规手术治疗)。结果：本组资料显示，手术创口长度与病变长径之比试验组平均为 13.0，对照组为 10.85，
2、两组差异有统计学意义(P0.05)。结论：电离子微创法治疗头颈部皮脂腺囊肿创伤小、费用低、治疗时间短、效果佳，是比较理想的皮脂腺囊肿治疗手段。【关键词】 皮脂腺囊肿，微创手术 ; 电离子 ; 头颈部Analysis of 42 cases with head and neck sebaceous cyst treated by 医学论文发表 创新医学网 http:/ invasive therapyLIU Wei song, TIAN Ye, YU Lan(Department of Head and Neck Surgery, Hainan Nongken Hospital， Haikou
3、570311;Department of Statistics, Hainan Medical University, Haikou 571101;Departmrnt of Dermatology, Hainan Nongken Hospital,Hai kou 570311)ABSTRACT Objective: To observe clinical application of minimally invasive treatment in head and neck sebaceous cyst.Methods: A total of 81 cases with head and n
4、eck sebaceous cyst from June 2005 to June 2009 were selected, and randomly divided into experiment group with 42 cases and control group with 39 cases. Patients in experiment group underwent minimally invasive ionization treatment，while control groupwith conventional surgery.Results: The ratio of su
5、rgical wound length and lesion long diameter was 13.0, and the mean operative cost was 40 yuan each in the experiment group; while 10.85 and 180 yuan in the control group, with significant statistical difference between two groups. But no significant difference was found in the ratio of lesion volum
6、e and blood loss(P0.05).Conclusions: With minimal incision, low cost, short treatment time and good effect, minimally invasive 医学论文发表 创新医学网 http:/ is a ideal option for treating sebaceous cyst.KEY WORDS Sebaceous cyst; Minimally invasive treatment; Ionization; Head and neck人体头面部皮肤的皮脂腺发达，是皮脂腺囊肿最常见的发病
7、部位，对于其临床治疗，手术切除几乎是唯一的根治方法，而常规手术多遗留有较大或较明显的疤痕，因为位于头颈部无法隐蔽，常使患者尤其是女性患者难以接受。根据皮脂腺囊肿的解剖学、组织学发生分析，我们近年尝试用电离子微创法进行皮脂腺囊肿的治疗，临床效果满意，具体报道如下。1 资料与方法1 临床资料选取我院皮肤科和头颈外科 2005 年 6 月2009 年 6 月进行有创治疗的头颈部皮脂腺囊肿患者共 81 例，均有明确的临床诊断或病理诊断，依据接受不同的手术方式分为试验组与对照组。1.1.1 试验组医学论文发表 创新医学网 http:/ 42 例，均为门诊患者，其中男性 24 例，女性 18 例;年龄 6
8、63 岁，平均年龄 31.5 岁; 病程 1 月10 年，平均 3.1 年;病例均为首次接受有创治疗，病变长径422mm，平均 11mm;手术创口基本为孔状或裂隙状，直径或长径为 24mm，失血量0.05)。术后面神经功能恢复程度与病程有密切的正相关关系。面神经吻合和移植术后，面神经功能恢复多不理想。结论:垂直段面神经损伤性面瘫，术后功能恢复与减压术式无明显关系，而与病程和损伤程度有关。【关键词】 垂直段面神经;损伤;减压术Choice of operation in facial nerve decompression of mastoid segment injuriesLONG Xiao
9、 bin, FENG Xiao hua, CHENG Chao(Department of Otolaryngology, Head and Neck Surgery, Zhujiang Hospital Affiliated to Southern Medical University, Guangzhou 510282, China; Department of Otolaryngology, General Hospital of Guangzhou Command, Guangzhou 510010, China)ABSTRACT Objective: To investigate t
10、he effects of whole facial nerve decompression and vertical segment of facial nerve decompression on peripheral facial paralysis caused by vertical segment of facial nerve injuries. Methods: Function of facial never in 63 patients with vertical segment of facial nerve injuries pre and post operation
11、 were evaluated 医学论文发表 创新医学网 http:/ House and Brackmann scales. Twenty six cases underwent whole facial nerve decompression by mastoid attic approach, 28 underwent vertical segment of facial nerve decompression, 5 underwent facial nerve anastomosis, and 4 underwent facial nerve transplantation. Resu
12、lt: Assessment of facial nerve function one year after the operation showed: 11 of the 28 cases that underwent vertical segment of facial nerve decompression were evaluated as grade remission, 10 as grade remission and 7 as grade ,9 of the 26 patients that underwent vertical segment of facial nerve
13、decompression were evaluated as graderemission, 11 as grade , and 6 as grade , showing no significant difference between the 2 groups. However, the remission degree was correlated with the disease course. For those underwent facial nerve transplantation havent obtained satisfactory facial nerve func
14、tion. Conclusions: For peripheral facial paralysis caused by vertical segment of facial nerve injuries, postoperative recovery status was not correlated with decompression method, but with the injury severity and disease course.KEY WORDS Vertical segment of facial nerve; Injury; Decompression头面部外伤、颞
15、骨内疾病可引起面神经损伤，导致完全性或不医学论文发表 创新医学网 http:/ 1989 年 3 月2009 年 3 月分别采用面神经全段减压术和垂直段减压术治疗面神经垂直段损伤致面瘫 63 例，取得了较好的临床效果，现报道如下。1 资料与方法1.1 一般资料本组患者 63 例，男性 49 例，女性 14 例。年龄 1553 岁，平均 28 岁。左侧面瘫 34 例，右侧面瘫 29 例。63 例患者自受伤、发病至接受手术时间为 6d9 个月,其中 31 例患者曾于外院就诊，但未行任何治疗。致病原因为: 各类医源性损伤 6 例，头面部外伤致颞骨横行骨折 39 例、纵行骨折 14 例，3 例面神经鞘膜瘤者和 1 例面神经纤维瘤病变部位均位于面神经垂直段。所有患者术前均行中耳乳突 CT 扫描、泪液分泌试验、味觉试验和镫骨肌反射,确定面神经受损部位为面神经垂直段。纯音听阈测听结果:患侧传导性聋 11例，
