腮腺肿瘤136例临床分析  

A clinical analysis on 136 cases of parotid gland tumors

作　　者：王杨红[1] 南欣荣[1] 

机构地区：[1]山西医科大学第一医院口腔科,太原030001

出　　处：《中国医疗前沿》2011年第3期61-62,共2页China Healthcare Innovation

摘　　要：目的对腮腺肿瘤的临床和病理学特点进行分析,探讨诊断治疗中存在的问题。方法对2007年～2010年间收治的经组织病理学确诊的136例腮腺肿瘤的临床和病理学特点进行回顾性分析。结果 136例腮腺肿瘤中,良性肿瘤117例(86%),恶性肿瘤19例(14%),所有病历均行手术治疗,4例恶性肿瘤术后辅助放疗。术后有暂时性面瘫16例、涎瘘及皮下积液1例、味觉出汗综合征1例、永久性面瘫1例、恶性肿瘤复发1例。结论腮腺肿瘤手术治疗治愈率高,为首选治疗方式,术式选择可根据实际情况选决定,小的腮腺良性肿瘤实施瘤周正常腺体切除术,不增加复发率,并能减少腮腺手术的并发症。Objective To analyse the clinical and pathological characteristics of parotid gland tumor.And to discuss some problem on the diagnosis and treatment of parotid tumor.Methods A retrospective analysis on 136 cases of parotid gland tumor from 2007-2010 with a confirmed pathologic diagnosis was carried out.Results 136 out of 117（86%） cases were benign tumor,the other 19（14%） were malignant,ALL cases were underwent surgery and 4 cases of malignancy were combined with postoperative radiotherapy.Temporary facial paralysis 16 cases,salivary fistula 1 case,Frey＇s syndrome 1 case,1 case of malignancy was recurrence.Conclusions Surgery is still the first choice for parotid gland neoplasm,the surgical pattern should be choosen according to the situation of different patients.The regional excision of parotid gland（resection of the tumor with its surrounding glands） was the efficient method of treating the small benign tumor of the parotid gland.

关 键 词：腮腺肿瘤 手术治疗 回顾分析 

分 类 号：R739.87[医药卫生—肿瘤]