复发性腮腺多形性腺瘤术后复发的影响因素及并发症原因分析  

Influencing Factors of Relapsed and Causes of Complications on Relapsed Pleomorphic Adenoma of Parotid Gland after Operation

作　　者：谢小星 郭昊亮[2] XIE Xiaoxing;GUO Haoliang(Union Shenzhen Hospital of Huazhong University of Science and Technology,Shenzhen 518052,China;不详)

机构地区：[1]华中科技大学协和深圳医院,广东深圳518052 [2]天津市口腔医院

出　　处：《中外医学研究》2021年第13期168-170,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨复发性腮腺多形性腺瘤再复发的危险因素及并发症发生原因,为本病手术治疗及并发症预防提供依据和参考。方法:以2014年1月-2018年10月笔者所在医院收治的47例复发性腮腺多形性腺瘤患者为研究对象,全部患者均再次进行手术治疗,术后随访至少24个月,统计并发症与复发率。回顾性分析患者临床资料与术程记录,比较复发与未复发患者的指标差异,Logistic回归分析复发性腮腺多形性腺瘤术后复发的危险因素,分析并发症发生原因,提出预防对策。结果:47例患者手术成功率100%,术后9例出现并发症,发生率为19.15%,其中与面神经切除相关患者7例(77.78%)。5例随访期间腺瘤复发,复发率为10.64%。位于深叶的肿瘤复发率高,腮腺全叶切除后复发率低,与未复发患者比较差异均有统计学意义(P<0.05),Logistic回归分析示:肿瘤复发部位与手术治疗方法是复发性腮腺多形性腺瘤术后复发的危险因素(P<0.05)。结论:手术是治疗复发性腮腺多形性肿瘤的有效方法,患者预后与肿瘤发生部位和手术治疗方法存在相关性,根据患者病变实际情况选择合适的术式对改善预后具有积极作用。另外,面神经损伤会增加术后并发症风险,加强术中精细操作,予以必要神经修复,对预防并发症具有积极作用。Objective:To explore the risk factors for relapsed of relapsed pleomorphic adenoma of the parotid gland and the causes of complications,and to provide basis and reference for surgical treatment and prevention of complications of the disease.Method:A total of 47 patients with relapsed parotid pleomorphic adenoma admitted to the hospital from January 2014 to October 2018 were taken as the research objects.All patients were re-operated and followed up for at least 24 months after the operation.The complications and relapsed rate were counted.The patient clinical data and operation records were retrospective analyzed,and the index differences between relapsed and non-relapsed patients were compared.Logistic regression analysis of the risk factors for relapsed of relapsed parotid pleomorphic adenoma after surgery,and the causes of complications were analyzed,and the preventive measures was proposed.Result:The operation success rate of 47 patients was 100%,9 patients had complications after operation,the incidence rate was 19.15%,of which 7 patients(77.78%)were related to facial nerve resection.During the follow-up period,the adenoma relapsed in 5 cases,the relapsed rate was 10.64%.The relapsed rate of tumors located in the deep lobes of relapsed patients is high,and the relapsed rate after total lobectomy of parotid gland is low.Compared with patients without relapsed,the differences were statistically significant(P<0.05).Logistic regression analysis showed that the tumor relapsed site and surgical treatment method were the risk factor for relapsed of relapsed parotid pleomorphic adenoma after surgery(P<0.05).Conclusion:Surgery is an effective method for the treatment of relapsed pleomorphic parotid tumors.The patients’prognosis is related to the location of the tumor and the surgical treatment method.Choosing the appropriate surgical procedure according to the actual condition of the patients’disease has a positive effect on improving the prognosis.In addition,facial nerve injury will increase the risk of postope

关 键 词：复发性腮腺多形性腺瘤 手术 预后 危险因素 并发症 预防 

分 类 号：R739.87[医药卫生—肿瘤]