腮腺沃辛瘤555例临床分析  

Clinical analysis of 555 cases of Warthin’s tumor

作　　者：陈飞[1] 王利伟 布静秋[1] CHEN Fei;WANG Li-wei;BU Jing-qiu(The First Medical Center of the People's Liberation Army General Hospital,Beijing 100853,China)

机构地区：[1]中国解放军总医院第一医学中心口腔科,北京100853

出　　处：《北京口腔医学》2022年第4期284-286,共3页Beijing Journal of Stomatology

摘　　要：目的探讨腮腺沃辛瘤(Warthin’s tumor)的临床特点及术式选择。方法对解放军总医院口腔外科近10年收治的555例沃辛瘤病例临床资料进行回顾性分析,对患者性别、年龄、烟龄、肿瘤部位等进行分析总结,并对术式选择进行评价。结果腮腺沃辛瘤男女患病比为14:1;50~70岁患者占67.7%,其中51~60岁年龄段患者人数最多(193例,34.8%),大部分患者有吸烟史(477例,85.9%),吸烟患者中20~40年烟龄者比例最高(343例,72.0%)。病变位于腮腺下极者最多(439例,79.1%),肿瘤直径大多在2~4 cm之间(489例,88.1%)。手术方式有腮腺浅叶切除、区域性切除及肿物剜除术。结论腮腺沃辛瘤主要发生于50~70岁的男性患者,肿瘤的发生与长期吸烟密切相关,且20~40年烟龄患者发病最多,大多数沃辛瘤位于腮腺下极,肿瘤直径大多在2~4 cm之间。对于伴有腮腺组织增生的沃辛瘤患者应首选腮腺浅叶及肿物切除术,这种术式术后面部形态相对较好。Objective To investigate the clinical characteristics and surgical approach of Warthin’s tumor.Methods A total of 555 cases of Warthin’s tumor were retrospectively reviewed.Results Among the 555 patients,the ratio of male to female was 14:1.Patients aged 50-70 years accounted for 67.7%.A total of 477 patients(85.9%)smoked,of which 343 had smoked for 20-40 years.Most tumors occurred in the lower pole of the parotid gland(439 cases,79.1%).The tumor size was mostly between 2-4 cm(489 cases,88.1%).Surgical approach included parotid gland superficial lobectomy,regional resection and tumor enucleation.Conclusions Warthin’s tumor mainly occurs in male patients aged 50-70 years and is closely related to smoking.Most of Warthin’s tumors are located in the lower pole of the parotid gland and the size is mostly between 2 and 4 cm.For patients with hyperplasia of parotid gland tissue,resection of the superficial parotid gland and tumor should be the first choice.

关 键 词：腮腺 沃辛瘤 吸烟 

分 类 号：R739.87[医药卫生—肿瘤]