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目的 探讨小儿腮腺血管瘤的手术治疗要点和手术治疗效果。方法 收集 1996～ 2 0 0 0年收治的小儿腮腺血管瘤 2 0例 ,年龄 2个月～ 3岁 ,均施行保留面神经的腮腺及血管瘤切除术。面神经剥离采用主干到分支的顺行法。随访 1～ 3年。结果 创口全部I期愈合 ,无感染、无涎瘘、无永久性面瘫等并发症。面部外形无明显凹陷畸形。结论 本病早期手术治疗可获得满意治疗效果。小儿面神经分支类型与成人无明显差异 ,保护面神经及控制出血是手术成功的关键。
Objective To investigate the surgical treatment of pediatric parotid hemangiomas and surgical treatment. Methods 20 cases of pediatric parotid hemangiomas from 1996 to 2000 were collected, ranging in age from 2 months to 3 years. Surgical parotid and hemangiomas resected with facial nerve were performed. Facial nerve stripping using the main branch to the branch of the law. Follow-up 1 to 3 years. Results All I wound healing, no infection, no salivary fistula, no permanent facial paralysis and other complications. Facial shape no obvious depression deformity. Conclusion The early surgical treatment of this disease can be satisfied with the treatment effect. Pediatric facial nerve branch type and no significant difference between adults, the protection of the facial nerve and control of bleeding is the key to successful surgery.