腮腺肿瘤150例临床分析  

Clinical analysis of 150 cases with parotid gland tumor

作　　者：刘运岭[1] 

机构地区：[1]商丘市第一人民医院口腔科,河南省商丘476000

出　　处：《中国基层医药》2013年第13期1982-1984,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨腮腺肿瘤临床手术治疗的理想方法。方法行腮腺肿瘤切除术的患者，分为肿瘤和腮腺全切除术、肿瘤和部分腮腺切除术以及肿瘤和腮腺浅叶切除术三组，各50例，手术后观察患者手术时间、治愈复发情况等相关项目。结果150例腮腺患者良性肿瘤患者占84．66％，恶性肿瘤患者占15．34％。肿瘤切除和部分腮腺切除术患者的手术时间（74．00±12．54）min明显少于全切组（112．00±20．37）min和浅叶组患者（98．00±17．35）min，部分组患者的面部满意例数（48例）和腮腺保留功能情况（45例）显著优于另两组，手术后的并发症发病情况（3．3％）明显少于其余两组（10．7％、8．7％），差异有统计学意义（P〈0．05）。结论腮腺肿瘤患者采用肿瘤和腮腺部分切除术手术的时间较短，治愈情况理想，可有效的控制肿瘤的复发转移同时术后的并发症少，在面部外观方面满意度高并且可以部分保留腮腺的功能，优势明显。Objective To explore the ideal method of parotid tumors by clinical surgical treatment. Methods 150 patients with parotid gland tumor were divided into parotid gland tumors and total resection of the tumor, partial paroti- dectomy and parotid gland tumors and shallow lobectomy three groups, fifty cases in each group. After the operation, operation time, cure recurrence and other related projects were observed. Results In 150 patients with parotid gland tumor,benign parotid gland tumors accounted for 84.66% , malignant tumor accounted for 15.34%. The operation time of tumor resection group and partial parotidectomy group was （74. 00±＋ 12.54 ）min, which was less than that of the total resection group （ 112.00±20.37 ） rain and shallow leaf group （ 98.00±17.35 ） min. The number of patients satisfied with facial in partial resection group was 48 cases, and 45 cases with parotid gland function reserved,which were significantly better than the other two groups, incidence rate of postoperative complications （3.3%） was obviously less than the other two groups （ 10. 7%, 8.7% ）, the difference was statistically significant （ P 〈 0.05 ）. Conclusion The operation time of patients with parotid gland tumor underwent partial resection is short, the cure condition is ideal, can effectively control the tumor relapse, metastasis and postoperative complications, can keep part of the parotid gland function, has obvious advantages.

关 键 词：腮腺肿瘤 口腔外科手术 

分 类 号：R739.8[医药卫生—肿瘤]