腮腺静脉血管畸形伴静脉石的手术治疗  

Surgical treatment for venous malformations of the parotid gland with phlebolith formation

作　　者：高燕[1] 李文[1] 易雪莲[1] 钟涛 

机构地区：[1]四川大学华西医院耳鼻咽喉头颈外科,四川成都610041 [2]四川石油总医院耳鼻咽喉科,四川成都610041

出　　处：《中国耳鼻咽喉头颈外科》2014年第11期585-587,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨腮腺静脉血管畸形伴静脉石的临床特点及手术治疗的可行性。方法回顾性分析1992~2012年5例腮腺静脉血管畸形伴静脉石形成的患者临床资料,其中4例行病变及同侧腮腺全切除术,1例行病变及腮腺浅叶切除术。结果 5例患者手术均获成功,经病理组织确诊为静脉血管畸形伴静脉石形成。所有患者术后随访1~8年,除2例患者术后1周内有暂时面瘫外,患者均无肿瘤复发、涎瘘或Frey综合征发生。结论手术是治疗腮腺静脉血管畸形伴静脉石的有效手段。OBJECTIVE To explore the clinical characteristics and surgical feasibility of venous malformations with phlebolith formation of parotid gland. METHODS The clinical data of 5 cases of parotid gland venous malformations from 1992-2012 were reviewed, among which the lesion and ipsilateral total parotidectomy was performed in 4 cases while the lesion and partial parotidectomy performed in one case. RESULTS All the cases were operated successfully and the diagnosis was proved by histopathology. No recurrence, salivary fistula or Frey＇s syndrome took place during the 1-8 years follow- up except for temporary facial nerve paralysis for one week in 2 patients. CONCLUSION Surgery is the effective modality to cure venous vascular anomaly of parotid gland with phlebolith formation.

关 键 词：腮腺 外科手术 静脉血管畸形 静脉石 

分 类 号：R782.7[医药卫生—口腔医学]