896例腮腺肿瘤临床回顾分析  

Retrospective analysis of 896 cases of parotid gland tumor

作　　者：赵志国[1] 高丹[2] 王瑾[3] 张力平[1] ZHAO Zhi-guo;GAO Dan;WANG Jin;ZHANG Li- ping(Department of Oral and maxillofacial Surgery;Department of Clinical Laboratory;Department of Otorhinolaryngology, Shengjing Hospital of China Medical University. Shenyang 110004, Liaoning Province, China)

机构地区：[1]中国医科大学附属盛京医院口腔颌面外科,辽宁沈阳110004 [2]中国医科大学附属盛京医院检验科,辽宁沈阳110004 [3]中国医科大学附属盛京医院耳鼻咽喉科,辽宁沈阳110004

出　　处：《上海口腔医学》2017年第6期605-609,共5页Shanghai Journal of Stomatology

基　　金：国家自然科学基金(81202126);辽宁省科学技术计划项目(2011225020)

摘　　要：目的 :通过回顾性研究,总结腮腺肿瘤的发病情况、构成特点、临床检查及诊断方法。方法 :收集2008年1月—2015年7月中国医科大学附属盛京医院口腔颌面外科收治的896例腮腺肿瘤患者的病例资料,对其临床资料进行总结分析。结果:896例腮腺肿瘤患者中,男432例,女464例,比例为1∶1.07;左侧431例,右侧454例,双侧11例;31~70岁年龄段为腮腺肿瘤高发阶段,其构成比为77.01%;良性肿瘤786例,恶性肿瘤110例,比例为7.15∶1。临床诊断与术后病理诊断符合率为88.95%,术中快速冷冻切片检查与术后病理诊断符合率为96.88%。多形性腺瘤、Warthin瘤、基底细胞腺瘤分别占良性肿瘤的前3位;黏液表皮样癌、腺泡细胞癌、腺样囊性癌分列恶性肿瘤的前3位。恶性肿瘤中,上皮及肌上皮来源占95.45%。检查方法主要为B超、CT和MRI。结论:腮腺肿瘤的病理类型复杂多样,综合考虑其发病特点、临床及影像学表现,有助于腮腺肿瘤的诊断;术中快速冷冻切片检查有较高的准确性,可对确定手术方案提供及时有效的帮助。PURPOSE： To review the clinical data of patients undergoing operation, in order to summarize the incidence, proportion, clinical examination and diagnostic methods of parotid tumors. METHODS： Eight hundred and ninty-six cases of parotid gland tumors were collected from 2008 January to 2015 July from department of oral and maxillofacial surgery in Shengjing Hospital of China Medical University. A retrospective study of the clinical data was carried out, including age, gender, tumor location, diagnostic methods and pathological results. RESULTS： In 896 patients with parotid gland tumor, 432 were male, 464 were female, the ratio was 1：1.07; 431 cases were on the left side, 454 cases were on the right side, 11 cases were bilateral; The proportion of parotid tumor was higher in patients aged 31 to 70 years old. 786 cases were benign, 110 cases were malignant, the ratio of benign to malignant was 7.15：1. Pleomorphic adenoma, Warthin tumor and basal cell adenoma were the most common types of benign tumors, while mucoepidermoid carcinoma, acinic cell carcinoma and adenoid cystic carcinoma accounted for the most of malignant tumors. CONCLUSIONS： The pathological types of parotid gland tumor are complicated. Clinical examination and imaging features are helpful to diagnosis. The accuracy is high in diagnosis of parotid gland tumor by frozen section, which is useful to assist making treatment plan.

关 键 词：腮腺 肿瘤 流行病学 临床特征 

分 类 号：R739.8[医药卫生—肿瘤]