腮腺脂肪瘤17例临床回顾分析  

Parotid gland lipoma:A retrospective analysis of 17 cases

作　　者：胡永 朱佳栋 孟颖 叶金海[2] HU Yong;ZHU Jiadong;MENG Ying;YE Jinhai(Department of Stomatology,Suzhou Science&Technology Town Hospital,Suzhou 215153,China)

机构地区：[1]苏州科技城医院口腔科,江苏苏州215153 [2]南京医科大学附属口腔医院口腔颌面外科,江苏南京210029

出　　处：《口腔医学》2022年第12期1101-1103,1128,共4页Stomatology

基　　金：苏州市民生科技医疗卫生应用基础研究(SYSD2020082);苏州高新区医疗卫生科技计划重点项目(2019Z013)。

摘　　要：目的 总结腮腺脂肪瘤的临床表现及治疗效果。方法 回顾分析17例腮腺脂肪瘤患者病史、临床表现、影像学检查、治疗方案及预后情况。结果 17例腮腺脂肪瘤均位于腮腺浅叶,表现为腮腺区无痛性肿块;男11例、女6例;年龄33~76岁,平均50.7岁。超声检查见腮腺内边界清晰低回声区,CT检查提示腮腺内包膜完整低脂密度肿物。在正常腮腺组织内完整切除肿瘤,术后无面神经麻痹等并发症,随访无复发。结论 腮腺脂肪瘤中年男性多见,常表现为腮腺内无痛渐大质中软肿物,行功能性腮腺部分切除术,预后良好。Objective To summarize clinical manifestations and treatment results of parotid lipoma.Methods The medical history,clinical manifestations,imaging examination,treatment and prognosis of 17 patients with parotid lipoma were retrospectively analyzed.Results All 17 cases of parotid lipoma were located in the superficial lobe and presented as a painless mass.There were 6 females and 11 males,aging from 33 to 76,with an average age of 50.7.Ultrasound examination showed a clear and hypoechoic mass within the parotid gland,and CT examination showed a clear boundary,intact capsule,and low-density mass.Partial parotidectomy with preservation of the facial nerve was performed,and there was no symptom of facial nerve paralysis and no recurrence after operation.Conclusion Parotid lipoma is more common in men,manifested as a painless and gradually enlarged mass in parotid gland.The tumor is completely removed in the normal parotid gland with partial parotidectomy,and the prognosis is good.

关 键 词：腮腺 脂肪瘤 腮腺部分切除术 

分 类 号：R782.7[医药卫生—口腔医学]