中国实用口腔科杂志

中国实用口腔科杂志 ›› 2011, Vol. 4 ›› Issue (11): 685-686.

• 论著 • 上一篇    下一篇

腮腺浅叶良性肿瘤区域性和浅叶切除临床研究

韩蔚蔚，冯德斐，任妮娜   

  1. 河南省焦作市第二人民医院口腔科，河南  焦作 454001 
  • 出版日期:2011-11-15 发布日期:2022-06-29

  • Online:2011-11-15 Published:2022-06-29

摘要： 目的    观察腮腺浅叶良性肿瘤区域性切除术和浅叶切除术的疗效及并发症发生率，为合理选择术式提供依据。 方法    回顾性分析2001年1月至2008年12月焦作市第二人民医院口腔科收治的68例腮腺浅叶良性肿瘤患者病历资料，其中腮腺区域性切除术38例，腮腺浅叶切除术30例。随访2 ~ 5年，记录肿瘤复发、面瘫、Frey综合征和涎瘘的发生例数。对所得数据进行分析。结果    随访2~5年，所有患者均未复发。腮腺区域性切除术后并发症发生率13.15%，传统腮腺浅叶切除术为66.67%。结论    腮腺区域性切除术可作为体积较小的腮腺浅叶良性肿瘤治疗的首选术式，具有手术创伤小、并发症少及肿瘤复发率低等优点。

关键词: 腮腺良性肿瘤, 区域性切除术, 腮腺浅叶切除术, 面瘫, Frey综合征, 涎瘘

Abstract: Objective    To compare the clinical results and complications of regional excision with those of superficial parotidectomy. Methods    The clinical data of 68 cases of benign tumor in superficial lobe of parotid gland between January 2001 and December 2008 were analyzed retrospectively. Totally 38 cases underwent regional excision and 30 cases received superficial parotidectomy. All cases were followed up for 2 to 5 years. The recurrence rate and the incidence of facial paralysis， Frey syndrome and salivary fistula were recorded and analyzed. Results    The incidence of surgical complications （facial paralysis， Frey syndrome and salivary fistula） were lower in regional excision group than that in superficial parotidectomy group， but the recurrence rate was not significantly different between the two surgical modalities. Conclusion      Regional excision can be the prime operative method for benign tumor in superficial lobe of parotid gland， and it protects the main function of parotid gland，has lower recurrence rate of tumor and reduces various kinds of complications.

Key words: parotid gland benign tumor, regional excision, superficial parotidectomy, facial paralysis, Frey syndrome, salivary fistula