手术治疗腮腺区肿瘤94例临床分析  

Operation Treatment of Parotid Gland Tumor:Clinical Analysis of 94Cases

作　　者：李刚[1,2] 彭玲玲[1,2] 孙玉华[1,2] 唐巍[1,2] 

机构地区：[1]徐州医学院附属医院 [2]徐州医学院临床学院,江苏徐州221000

出　　处：《亚太传统医药》2013年第11期124-125,共2页Asia-Pacific Traditional Medicine

摘　　要：目的:分析腮腺区良性及恶性肿瘤的手术过程,总结其治疗方法。方法:94例腮腺肿瘤患者,均采取腮腺区"S"型切口,其中腮腺浅叶良性肿瘤采用保留面神经的腮腺浅叶及肿瘤切除术;腮腺深叶良性肿瘤采用保留面神经的腮腺全叶及肿瘤切除术;腮腺恶性肿瘤除1例高分化粘液表皮样癌患者采用保留面神经的腮腺浅叶及肿瘤切除术,其余12例均采取全腮腺切除术,术中保留未粘连的面神经,对部分粘连的面神经分支不予保留。结果:所有患者创口均一期愈合,其中5例患者术后出现面瘫,术后半年均不同程度恢复,随访半年至1年均未见肿瘤复发。结论:腮腺良性肿瘤应采取保留面神经的腮腺浅叶或全叶及肿瘤切除术,对恶性肿瘤最好采取腮腺全叶及肿瘤切除术,尽可能保留面神经。Objective： Through operation process analysis of parotid benign and maligant tumors, to summarize the therapeutic method. Methods： 94 cases of parotid gland tumors, were taken the parotid region ＂S＂ incision. In cases of benign tumors in the su- perficial lobe of parotid gland,the superficial lobe of parotid gland and tumor were removed but the facial nerve were preserved. In cases of benign tumor in the deep lobe of parotid gland,both the superficial and deep lobe of parotid gland were removed but the facial nerve were preserved. In cases of malignant tumors,only 1 case of well-differentiated mucoepiderrnoid carcinoma in the superficial lobe of parotid gland undergo excision of the superficial lobe of parotid gland and tumor, but the facial nerve were preserved. And the remaining 12 cases were taken total parotidectomy with the facial nerve preservation if no adhesion, but the facial nerve branches should be excised in cases of adhesion. Results ： In all the patients the wound healed in one stage. 5 patients with postoperative facial paralysis regained nerve function to some extent after follow-up of six months. No tumor recurrences were found after follow-up of sis months to a year. Conclusion.. In the benign tumor of parotid gland,the resection of the superficial lobe and tumor or total pa- rotidectomy and tumor should be taken with the preservation of the facial nerve. For malignant tumor of parotid gland,it is best to take the total parotidectomy with the tumor and preserve the facial nerve as far as possible.

关 键 词：手术治疗 腮腺 肿瘤 

分 类 号：R782.053[医药卫生—口腔医学]