副腮腺肿瘤14例临床分析及治疗体会  

Clinical analysis of 14 cases of accessory parotid gland tumors and treatment experience

作　　者：孙国文[1,2,3] 杨旭东[1,2,3] 卢明星[1,2,3] 王志勇[1,2,3] 胡勤刚[1,2,3] 唐恩溢[1,2,3] 

机构地区：[1]南京大学医学院口腔医学院 [2]南京大学附属口腔医院 [3]南京市口腔医院口腔颌面外科,南京210008

出　　处：《口腔医学》2012年第12期728-730,772,共4页Stomatology

基　　金：江苏省自然科学基金课题项目(BK2011102);江苏省临床医学专项项目(BZ201201);南京市医学科技发展资金资助项目(南京市卫生青年人才工程第一层次)

摘　　要：目的初步评估分析副腮腺肿瘤的诊断、治疗与预后情况。方法回顾性分析14例副腮腺肿瘤患者的诊断与治疗,考虑到副腮腺肿瘤的特殊解剖部位,14例患者均采取常规的腮腺肿瘤手术切口,并进行细致的面神经解剖。对于恶性副腮腺肿瘤给予术后辅助放射治疗。结果 14例副腮腺肿瘤中多形性腺瘤6例,肌上皮瘤2例,腺泡细胞癌2例,基底细胞腺瘤1例,中分化黏液表皮样癌1例,肌上皮癌1例,侵袭性纤维瘤1例。所有患者术后的面型满意,肿瘤无复发。结论常规的腮腺手术切口进路治疗副腮腺肿瘤是一种安全、有效、美观的方法。This was a retrospective study of 14 patients with accessory parotid neoplasms who underwent the tumor resection. In consideration of the delicate anatomy in the accessory parotid region,a standard parotidectomy incision and a careful facial nerve dissection were performed on these patients. The postoperative auxiliary radiotherapy was given to the mal, ignant accessory parotid tumors. Results 14 patients with ac- cessory parotid gland masses,here reported, had been surgically treated. Six patients had pleomorphic adenomas,two patients had myoepitheli- omas ,two had acinie cell carcinomas ,one had a basal cell adenoma,one had a moderately differentiated mucoepidermoid carcinoma,one had a myoepithelial carcinoma,and one had an aggressive fibromatosis. After the operation,all patients were satisfied with their facial appearance, and no recurrence of tumor was found. Conclusions The standard parotidectomy approach is a safe,effective and cosmetically appealing ap- proach for the surgical management of the accessory parotid gland tumors.

关 键 词：副腮腺 腮腺切除 面神经 

分 类 号：R739.87[医药卫生—肿瘤]