19例颌面部脂肪瘤临床分析与文献复习  

Clinical analysis and literature review of 19 cases maxillofacial lipoma

作　　者：吴可明[1] 胡小琴[1] 郑侠波[1] 刘庆猛[2] 

机构地区：[1]绍兴第二医院口腔科,浙江绍兴312000 [2]绍兴第二医院病理科,浙江绍兴312000

出　　处：《口腔医学》2014年第10期775-777,共3页Stomatology

摘　　要：目的探讨颌面部脂肪瘤的临床特征、早期诊断及治疗方法,以期提高对该病的认识,减少误诊和漏诊。方法回顾性分析19例经病理诊断为颌面部脂肪瘤的病例资料,复习相关文献。结果发病年龄以60岁以上老年人居多,其次为60岁以下的成年人,极少发生于未成年人;发病性别无明显差别;发病的组织层次以皮下和黏膜下层最多,其次为涎腺内、黏膜表面和肌肉内,颌骨和深部间隙极少;临床表现均无明显特异性临床症状,以偶然发现为主,术前多数可以行彩超、CT等检查确诊,最终确诊均靠病理;肿瘤大小不一,一般有完整的或不完整的包膜,与周围正常组织分界清晰,容易分离,能够完整切除,且无复发。结论彩超、CT和MRI检查可以初步明确颌面部脂肪瘤的术前诊断,确诊靠术后病理。治疗以手术切除为主,手术较彻底且不易复发。Objective To investigate the clinical features,early diagnosis and treatment of maxillofacial lipoma in order to improve the knowledge of the disease,reduce the misdiagnosis and missed diagnosis. Methods A retrospective analysis of data of 19 cases of maxillofacial lipoma was done with the review of pertinent literature. Results The patients with age above 60 were in the majority,fol- lowed by adults under 60,and it rarely occurred to the minors ; there was no significant difference in gender; maxillofacial lipoma grew most often in subcutaneous and submucosa, followed by salivary gland, the mucosal surface and muscle, rarely in jaw bones and deep space; there were no specific clinical symptoms, mainly to the accidental discovery; most patients were diagnosed by color Doppler ul- trasound,CT examination,and finally confirmed by pathology; tumors were not uniform in size, had complete or incomplete envelope, and clear boundaries with the surrounding normal tissue. It can be easily severed,completely resected and there was no palindromia. Conclusions Maxillofacial lipoma can be diagnosed before surgery by color Doppler ultrasound,CT and MRI examination,and finally confirmed by postoperative pathology. The main method of the treatment is complete operation excision and it won＇t recur easily.

关 键 词：颌面部 脂肪瘤 临床 文献复习 

分 类 号：R739.81[医药卫生—肿瘤]