腮腺咬肌筋膜下翻瓣对预防Frey’s综合征作用的Meta分析

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[摘要]目的：采用Meta分析方法探讨腮腺咬肌筋膜下翻瓣术式对预防Frey’s综合征的价值。方法：制定全面的检索策略，检索PubMed、EMBASE、ELSEVIER、OVIDMEDLINE、CNKI、万方数据库，筛选腮腺咬肌筋膜下翻瓣与Frey’s综合征预防相关文献，Meta分析合并OR值。结果：有15项随机临床对照实验纳入Meta分析，累计病例1 414例，其中对照组584例，合并OR=0.20，95%可信区间 [0.16，0.26]，实验组较对照组Frey’s综合征发生率显著降低（P

[关键词]腮腺咬肌筋膜;腮腺切除;Frey’s综合征;预防;Meta分析

[中图分类号]R782.2+6    [文献标志码]A    [文章编号]1008-6455（2022）01-0080-03

The Role of Flap Operation Under Parotid Masseter Fascia in the Prevention of Frey’s Syndrome： A Meta Analysis

SONG Yong， WANG Junlin， LIU Yanjie， CHEN Yucong， HE Hujie， JIANG Yanbo

（Department of Stomatology，Liuzhou People’s Hospital， Liuzhou 545006， Guangxi，China）

Abstract：  Objective  To perform a Meta analysis to evaluate the use of flap operation under parotid masseter fascia in prevention of Frey’s syndrome in patients undergoing with parotidectomy. Methods  A search of PubMed， EMBASE， ELSEVIER， OVIDMEDLINE， CNKI and WanFang Database was conducted using common text words combined with medical subject headings to capture the related studies. Data were collected and studies were pooled and OR were calculated. Results  15 studies were included for Meta analysis， including 1 414 patients in all in which there were 584 patients in the control group. The overall OR was 0.20， 95%CI was 0.16-0.26. There are statistical significance between the experimental group and the control group in the prevention of Frey’s syndrome（P

Key words： parotid masseter fascia ; parotidectomy; Frey’s syndrome; prevention; Meta analysis

Frey’s综合征又称耳颞神经综合征或味觉出汗综合征，为腮腺肿瘤术后常见的一种并发症，多于术后3个月出现，其症状为受到味觉刺激时术区皮肤出现出汗、潮红等现象[1]。（剩余7963字）