区域性切除术治疗腮腺多形性腺瘤的临床效果  

Clinical efficacy of partial superficial parotidectomy in treatment of parotid pieomorphic adenoma

作　　者：宣望东 

机构地区：[1]湖南省浏阳市中医院口腔科,湖南浏阳410300

出　　处：《中国现代医生》2012年第28期14-15,共2页China Modern Doctor

摘　　要：目的探讨区域性切除术治疗腮腺多形性腺瘤的效果。方法总结我院2002年1月-2009年1月间收治的腮腺多形性腺瘤患者82例的临床资料，按照所采用手术方法的不同分为区域性切除术组（52例）和浅叶切除术组（30例），随访3～10年，观察两组疗效。结果采用区域切除术的患者面瘫、Frey综合征、涎瘘的发生率均显著低于采用腮腺浅叶切除手术的患者（P〈0．05），两组复发率比较无统计学意义（P〉0．05）。结论区域性切除术手术创伤小，术后并发症少。可作为腮腺多形性腺瘤治疗的首选术式。Objective To investigate the efficacy of partial superficial parotidectomy in the treatment of parotid pieomorphic adenoma. Methods In our hospital the clinical data from 2002 January to 2012 January were summarized of 82 patients with parotid pieomorphic adenoma,according to the different operation methods for partial superficial parotidectomy group （52 cases） and in the superficial lobe resection group （30 cases）, followed up for 3 to 10 years,were observed in two groups. Results using partial superficial parotidectomy of patients with facial paralysis, Frey syndrome,incidence of salivary fistulas were significantly lower than in the superficial parotidectomy operation patients（P 〈 0.05 ）,two groups compare recurrence rates had no significant difference （P 〉 0.05）. Conclusion Partial superficial parotidectomy of small trauma,less postoperative complications, can be used as the treatment of parotid pleomorphic adenomas of the first operation.

关 键 词：多形性腺瘤 区域性切除术 浅叶切除术 

分 类 号：R739.8[医药卫生—肿瘤]