中国实用口腔科杂志

中国实用口腔科杂志

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腮腺部分切除术治疗腮腺良性肿瘤43例分析

张翔云，刘 锋，周 玮，夏 秋   

  1. 江苏泰州普济医院口腔科，江苏 泰州
  • 收稿日期:2008-07-19 修回日期:2008-09-11 出版日期:2008-10-15 发布日期:2008-10-15

  • Received:2008-07-19 Revised:2008-09-11 Online:2008-10-15 Published:2008-10-15

摘要：

目的 探讨保留腮腺主导管的腮腺部分切除术在治疗肿瘤直径小于2.0 cm的腮腺良性肿瘤的可行性。方法 对2002 — 2006年江苏泰州普济医院口腔科收治的43例直径小于2.0 cm的腮腺深浅叶良性肿瘤病例，作保留腮腺主导管的腮腺部分切除术，于肿瘤外0.5 ~ 1.0 cm处切除肿瘤与周围正常腺体组织。结果 采用腮腺部分切除手术的病例术后瘢痕、面部凹陷畸形、味觉出汗综合征（Frey综合征）、暂时性面瘫发生及腮腺功能等方面均优于传统的腮腺浅叶及全叶切除术。结论 对于界限清楚、直径小于2.0 cm的腮腺良性肿瘤，采用腮腺部分切除术是可行的，并有诸多优点。

关键词: 腮腺良性肿瘤, 部分切除, 并发症

Abstract:

Objective To investigate the feasibility of partial parotidectomy without ligation of the parotid main duct for the treatment of benign parotid tumors which is less than 2.0cm in diameter. Methods Partial parotidectomy without ligation of the parotid main duct was performed for 43 cases of benign parotid tumors less than 2.0cm in diameter. The tumor and the surrounding 0.5 ~ 1.0cm normal glandular tissues were resected. Results The partial parotidectomy was superior to conventional superficial lobe and total parotidectomy as to the incidence of postoperative scar， facial depression deformity， Frey’s syndrome，temporary facial paralysis and the parotid function. Conclusion Partial parotidectomy is feasible and has many advantages for those benign parotid tumors which are less than 2.0cm in diameter and with clear borders.

Key words: benign parotid tumor, partial parotidectomy, complication