344例腮腺肿瘤回顾性分析  

Retrospective analysis of 344 cases of parotid gland tumors

作　　者：庞亚倩 张凯[1] 刘姗姗 陈永锋[1] PANG Ya-qian(Department of stomatology,the first affiliated hospital of Bengbu medical college,Bengbu,Anhui,233004,China)

机构地区：[1]蚌埠医学院第一附属医院口腔科,安徽蚌埠233004

出　　处：《齐齐哈尔医学院学报》2020年第24期3111-3115,共5页Journal of Qiqihar Medical University

摘　　要：目的总结腮腺肿瘤发病情况和组织病理分型特点。方法选择2013—2018年本院口腔颌面外科收治经病理证实的344例腮腺肿瘤患者作为研究对象,其中280例腮腺良性肿瘤、64例腮腺恶性肿瘤。探讨344例腮腺肿瘤中,良恶性肿瘤的比例、腮腺肿瘤男女发生的比例及高发年龄段,比较良恶性肿瘤在性别、年龄、位置及深浅叶发生情况。结果344例腮腺肿瘤中,良恶性肿瘤之比为4.4∶1,男女之比为1.4∶1,31~70岁为腮腺肿瘤高发年龄段;良恶性肿瘤的发生率在性别、年龄、位置无显著差异(P>0.05);浅叶良性肿瘤的发生率高于恶性,差异有统计学意义的(P<0.05)。良性肿瘤中,多形性腺瘤,Warthin肿瘤和基底细胞腺瘤占前三位;恶性肿瘤中,黏液表皮样癌发病居首位,其次是腺泡细胞癌及鳞状细胞癌。结论唾液腺肿瘤的临床表现多样,病理类型复杂。对构成特点及发病情况进行综合考虑,有助于腮腺肿瘤的明确诊断,从而确定有效的手术方案、减少并发症及提高手术成功率。Objective To summarize the epidemiology and pathological classificationofparotid gland tumors.Methods 344 cases of pathologically confirmed parotid gland tumor patients those admitted to the department of oral and maxillofacial surgery of the first affiliated hospital of Bengbu Medical College from 2013 to 2018 were selected as study subjects.Among the patients there were 280 cases of benign parotid gland tumor and 64 cases of malignant neoplasm of parotid gland.To investigate the proportion of benign and malignant parotid tumors in the 344 patients,the male to female ratio,age parotid with high incidence of tumors.Finally compared the differences in gender,age,location and depth between benign and malignant parotid tumors.Results Among the patients,the benign to malignant ratio was 4.4∶1,an the male to female ratio was 1.4∶1,parotid tumors presented high incidence in between the age interval 31 to 70 years old.There was no significant difference in the incidence of benign and malignant tumors in gender,age and location(P>0.05),while the benign tumors were the most common in the shallow lobes.Among benign tumors,pleomorphic adenomas,Warthin tumors and basal cell adenomas were the top three.Among the malignant tumors,mucoepidermoid carcinoma was the first,followed by acinar cell carcinoma and squamous cell carcinoma.Conclusions The clinical manifestations of salivary gland tumors are diverse and the pathological types are complex.The comprehensive consideration of the constitution and theepidemiology is helpful for the definite diagnosis of parotid gland tumor,so as to determine the effective surgical program,reduce complications and improve the success rate of surgery.

关 键 词：腮腺 肿瘤 面神经 味觉出汗综合征 

分 类 号：R739.8[医药卫生—肿瘤]