脱细胞真皮基质在预防腮腺切除术后并发症和美容效果方面的作用：倾向评分匹配分析。
Effects of acellular dermal matrix on the prevention of complications and esthetic outcome after parotidectomy: A propensity score matched analysis.
机构信息
The Department of Otolaryngology in the Zhongshan City People's Hospital, Zhongshan Affiliated Hospital of Sun Yat-sen University, Zhongshan, China.
出版信息
Ear Nose Throat J. 2024 Jun;103(6):344-350. doi: 10.1177/01455613211058114. Epub 2021 Nov 24.
OBJECTIVE
The present study was designed to investigate whether acellular dermal matrix (ADM) grafts could prevent Frey's syndrome (FS) and improve esthetic scores following parotidectomy.
METHODS
From January 2015 to December 2019, 175 patients underwent parotidectomy. We divided the patients into two groups: the ADM group and the control group. We included in each group 30 patients according to a propensity score matched analysis.
RESULTS
FS was subjective in 1 patient (3%) from the ADM group and 9 patients (30%) from the control group (=0.015). Patients in the ADM group had a subjective esthetic score of 6.1 1.7 compared with 5.2 1.7 in the control group. The subjective esthetic score for patients in the ADM group was higher than that for patients in the control group ( =0.040).
CONCLUSION
The present clinical study suggests that ADM grafts are effective in preventing FS and improving esthetic scores after parotidectomy.
目的
本研究旨在探讨脱细胞真皮基质（ADM）移植物能否预防腮腺切除术后 Frey 综合征（FS）并改善美容评分。
方法
2015 年 1 月至 2019 年 12 月，175 例患者接受腮腺切除术。我们将患者分为两组：ADM 组和对照组。我们根据倾向评分匹配分析，在每组中纳入 30 例患者。
结果
ADM 组有 1 例（3%）患者出现 FS，对照组有 9 例（30%）患者出现 FS（=0.015）。ADM 组患者的主观美容评分（6.1 1.7）高于对照组（5.2 1.7）。ADM 组患者的主观美容评分高于对照组（=0.040）。
结论
本临床研究表明，ADM 移植物可有效预防腮腺切除术后 FS 并改善美容评分。
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