174例腮腺肿瘤临床分析  

Evaluation of clinical therapy for 174 parotid gland tumor

作　　者：刘广毅 何福江[1] 杨军成[1] 

机构地区：[1]四川省广元市第一人民医院口腔科,四川广元628017

出　　处：《临床口腔医学杂志》2013年第2期101-103,共3页Journal of Clinical Stomatology

摘　　要：目的:对腮腺肿瘤手术病例进行总结分析,以期达到提高治愈率,减少并发症的目的。方法:对174腮腺肿瘤病例治疗方法和预后作系统性回顾分析。结果:31例术后出现Frey综合症(17.8%),44例术中植入脱细胞异体真皮基质病例则无1例出现Frey综合症;18例出现暂时性面瘫(10%);10例发生涎瘘(6%);7例发生永久性面瘫(4%),139例良性肿瘤无1例出现术后复发,35例恶性肿瘤有15例出现原位灶复发或颈淋巴结转移。结论:腮腺良性肿瘤治疗应以局部切除及次全切除为首选治疗方式,恶性肿瘤应在全切除术的基础上行选择性颈淋巴清扫术,术中植入脱细胞异体真皮基质是预防Frey综合征的有效方法。Objective： through the analysis of surgical treatment for patients of parotid gland tumor, so as to improve the cure rate,reduce the complications,and improve the patients quality of life. Method：Systematic retrospective analysis the clinical treatment methods and prognosis of 174 patients with parotid gland tumor who were received, cured, and followed-up in the department of Stomatology, First People＇s Hospital of Guangyuan,from 2002.1-2011.5. Result： 31 patients occurred Frey -syndrome （17.8 %） but none of the 44 cases implanted with acellular dermal matrix intraoperativetly showed Frey -syndrome, 18 cases occurred temporary facial paralysis （10 %）; 10 cases happened salivary fistula （6 %）;7 cases happened permanent facial paralysis （4 %）, 139 cases of benign tumors showed no recurrence, 15 cases of the 35 patients with malignant tumor showed recurrence in primary lesion or cervical lymph node metastasis. Conclusion： Partial ectomy and subtotal ectomy should be the first choice for benign parotid gland tumor. Selective neck dissections should be conducted for patients with malignant tumor based on total ectomy of parotid gland. The implantation of acellular dermal matrix is an ef- fective method to orevent Frev＇s syndrome.

关 键 词：腮腺肿瘤 手术治疗 回顾性分析 味觉出汗综合征 

分 类 号：R739.87[医药卫生—肿瘤]