Liu Shiyuan, Shen Heli, Yang Futian, Dai Pengzhan, Huang Zhiquan, Li Wei, Zhang Xianjun
Department of Oral and Maxillofacial Surgery, Xuchang Central Hospital, Henan, China.
Publicity Department, Xuchang University, Henan, China.
BMC Oral Health. 2024 Dec 21;24(1):1531. doi: 10.1186/s12903-024-05318-y.
This study explored the suitability of local anaesthesia with conscious sedation for parotid gland tumour surgery.
Three hundred sixty-four medical records were reviewed to gather data on several key aspects for retrospective analysis. These included age, incision length, operation time, tumour size, NNIS score, ASA score, and pathology. Additionally, we documented postoperative complications.
A total of 111 patients underwent surgery under local anaesthesia with conscious sedation, while 253 patients underwent surgery under general anaesthesia. We found significant differences in surgical time, incision length, tumour location and tumour size between the two groups. There was no difference in postoperative complications or age.
Performing parotid gland tumour resection under local anaesthesia with conscious sedation is feasible. Compared with general anaesthesia, this approach does not increase the risk of complications or surgical trauma and can reduce the risk of anaesthesia-related complications. This is beneficial for expanding surgical treatment indications, allowing some patients who cannot tolerate general anaesthesia to also receive treatment.
本研究探讨局部麻醉联合清醒镇静用于腮腺肿瘤手术的适用性。
回顾364份病历以收集几个关键方面的数据进行回顾性分析。这些方面包括年龄、切口长度、手术时间、肿瘤大小、NNIS评分、ASA评分和病理。此外，我们记录了术后并发症。
共有111例患者在局部麻醉联合清醒镇静下接受手术，而253例患者在全身麻醉下接受手术。我们发现两组在手术时间、切口长度、肿瘤位置和肿瘤大小方面存在显著差异。术后并发症或年龄方面无差异。
在局部麻醉联合清醒镇静下进行腮腺肿瘤切除是可行的。与全身麻醉相比，这种方法不会增加并发症或手术创伤的风险，并且可以降低麻醉相关并发症的风险。这有利于扩大手术治疗适应证，使一些不能耐受全身麻醉的患者也能接受治疗。
