多发性腮腺Warthin瘤与吸烟的关系探讨  

Relationship between multifocal Warthin tumor and smoking

作　　者：宋海洋[1] 宋晓萌[1] 丁旭[1] 李怀奇[1] 袁冶[1] 吴敏[2] 吴煜农[1] 武和明[1] 

机构地区：[1]南京医科大学附属口腔医院颌面外科,江苏南京210029 [2]南京医科大学附属口腔医院病理科,江苏南京210029

出　　处：《口腔医学》2016年第2期139-141,共3页Stomatology

基　　金：国家自然科学青年基金项目(81402236)

摘　　要：目的研究腮腺多发性Warthin瘤的临床特点。方法回顾我院2004年7月—2014年2月间收治的117例腮腺Warthin瘤临床及病理资料,分为单发组与多发组(单侧和/或双侧多灶),对比观察两组患者性别、年龄、吸烟指数等的差异,并统计分析。结果 117例Warthin瘤患者中,单发组94例,多发组23例;两组患者在性别、年龄上无明显差异(P>0.05);多发组吸烟率高达95%(22/23),重度吸烟(吸烟指数≥400)率为73%(17/23),单发组吸烟率仅75%,重度吸烟率为40%,统计显示多发组在吸烟率、吸烟程度明显高于单发组(P<0.01)。结论多发性Warthin瘤的发生与患者吸烟以及吸烟程度密切相关。Objective To study the clinical muhifocal Warthin tumor. Methods The clinical and pathological data of 117 Warthin tumor cases in our hospital from July, 2004 to February, 2014 were analyzed retrospectively. The cases were divided into ＂single＂ group and ＂multiple＂ group （unilateral and/or bilateral multifocal） and differences between two groups in gender, age, smoking in- dex, etc. , were statistically analyzed. Results In all the 117 cases with Warthin tumor, there were 94 cases in the ＂single＂ group, and 23 cases in the ＂multiple＂ group; No significant difference was found between the two groups in gender and age （P〉0.05） ; Smok- ing rate of the ＂multiple＂ group was 95% （22/23）, and heavy smoking （ smoking index ≥400） rate was 73% （ 17/23 ）, while smoking rate of the＂ single＂ group was 75% , and heavy smoking rate was 40%. Statistical analysis showed that the rates of smoking and heavy smoking were significantly higher in the＂ multiple＂ group than those inthe ＂single＂ group（ P〈 0.01 ）. Conclusion The risk of multi- ple Warthin tumor is closely correlated with smoking and the degree of smoking.

关 键 词：WARTHIN瘤 多发性 吸烟指数 

分 类 号：R782.7[医药卫生—口腔医学]