腮腺肿块位置和大小与术式选择的临床研究  

Parotid Gland tumor Location and the Size and the Choice of Surgical Clinical Research

作　　者：乔新生 

机构地区：[1]河南省鹤壁市鹤煤总医院,河南鹤壁458010

出　　处：《中国伤残医学》2014年第11期8-10,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨对于不同位置与大小的腮腺肿块所应采取的手术方式，为今后的临床治疗提供指导。方法：选取2011年4月-2013年3月期间我院收治的56例腮腺肿块患者作为本组研究的观察对象，根据患者腮腺肿块位置和大小的不同，分别给予不同的手术方式，并通过随访观察患者术后的治疗效果。结果：所有患者均在术中行快速冰冻活检，对于腮腺肿块位置在耳前区，且肿块直径〈2 cm以及腮腺肿块位置在腮腺耳下区或者颌后区，直径〈4 cm的41例良性患者行腮腺区域性切除术，其余肿块直径过大或经检查为恶性肿瘤的15例患者行腮腺全切除术。术后出现的主要手术并发症情况为：Frey’ s综合征3例，暂时性面瘫4例，永久性面瘫1例，术后涎瘘3例，良性患者无复发病例，恶性肿瘤复发2例。结论：手术治疗腮腺肿块要根据其位置及大小来选择，同时还要在术中借助快速冰冻活检来判断肿瘤的类型，采取合适的手术方式可以有效减少损伤与并发症，降低复发率。Objective：Discussed for different position and the size of the parotid gland tumors should be taken by way of operation , provide guidance for future clinical treatment .Methods：Choose between April 2011 and March 2011 , our hospital during the period of 56 patients with parotid masses as the observation object of this research , depending on the position and size in patients with parotid masses , given different surgical methods respectively , and through the patients were followed for the treatment of postoperative effect .Results：All the patients were in the art of quick frozen biopsy , for parotid gland tumor location area in front of the ear , and tumor diameter 〈2 cm and position parotid gland tumors in parotid gland under the ear area or jaw area , diameter 〈4 cm of 41 patients with benign parotid regional resection , the rest of the tumor diameter is too large or through inspection for all the 15 cases of patients with parotid gland malignancy resection .Of major surgical complications following surgery for：Frey＇s syndrome in 3 cases, 4 cases were temporary facial paralysis, and permanent facial paralysis in 1 case,Conclusion：Surgical treatment of parotid gland tumors according to its location and size to choose , but also in the art of using quick frozen biopsy to determine the type of the tumor , to take the right operation method can effectively reduce the damage and complications , reduce the recurrence rate .

关 键 词：腮腺肿块 术式 复发 

分 类 号：R739.8[医药卫生—肿瘤]