大涎腺肿瘤108例临床分析  

Analysis on 108 cases of large salivary gland tumor

作　　者：周丛豪[1] 李志华[1] 

机构地区：[1]北京铁路总医院口腔科,北京100038

出　　处：《中国肿瘤临床与康复》2000年第3期44-46,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的　对大涎腺肿瘤的临床特点和病理学特点进行分析 ,探索大涎腺肿瘤的发生发展规律并讨论诊断和治疗中存在的一些问题。方法　对 1990～ 1998年间收治的经组织学确诊的 10 8例大涎腺肿瘤的临床和病理特点进行回顾性综合分析 ,对诊断和治疗中存在的问题提出见解。结果　 10 8例大涎腺肿瘤中 ,良性肿瘤 81例占 75 % ,恶性肿瘤2 7例占 2 5 %。良性肿瘤中又以多形性腺瘤和囊肿为多见 ,分别占良性肿瘤的 72 .84%和 2 7.16%。舌下腺囊肿占舌下腺肿瘤的 75 % ,腮腺多形性腺瘤占腮腺肿瘤的 5 9.46%。结论　大涎腺肿瘤的发生发展有一定的规律可循。术前穿刺细胞学检查和涎腺X -线造影对诊断和治疗方案有指导意义。摘除舌下腺是根治舌下腺囊肿的最有效的办法 。? Objective To analyse the clinical and pathological characteristics of large salivary gland tumor.Methods A retrospective analysis on 108 cases of large salivary gland tumor from 1990～1998 with a confirmed pathologic diagnosis was carried out.Results In 108 case of large salivary gland tumor,81 cases were benign (75%),27 cases malignant (25%).Among benign cases,most of them were polymorphic and cystic,accounting for 72.84% and 27.16% respectively.Sublingual gland cyst accounted for 75% of sublingual gland tumors,while polymorphic salivary gland tumor accounted for 59.46% of salivary gland tumors.Conclusions There are certain laws concerning the occurrence and development of large salivary gland tumor.Preoperative puncture,histology and salivary gland X-ray contrast examination have great value in diagnosing and treating.Resection of sublingual gland is the most effective method to treat sublingual gland cyst thoroughly.Tumor resection plus partial or extensive operation is the key to prevention of recurrence of polymorphic salivary gland tumor. 〔

关 键 词：涎腺肿瘤 临床分析 

分 类 号：R739.87[医药卫生—肿瘤]