摘要
目的研究保留部分腮腺浅叶腺体与腮腺浅叶全切术这两种手术方式在腮腺浅叶良性肿瘤治疗后的临床效果。方法2002～2008年117例腮腺浅叶肿瘤中，79例行肿瘤及部分浅叶腺体切除面神经解剖术，38例行肿瘤及全部浅叶切除。比较术后涎痿，面瘫及复发情况。随访1—5年。结果两种手术方式复发率分别为6．3％（5／79），5．3％（2／38），涎瘘率接近，术后1～12周面瘫率及恢复率类似。结论两种手术方式对腮腺浅叶肿瘤的临床治疗效果没有明显的影响。
Objective To investigate the difference of clinical results between partial and total resection of superficial gland as two surgical approaches of superficial parotid gland benig ntunlors. Methods 117cases of superficial parotid gland benign tumor were collected from 2002 - 2008, among which 79 cases were performed with parotid tumor and partial superficial lobe reseetion while facial nerve was routinely dissected ,38 eases were performed with parotid tumor and total superficial lobe resection. then follow-up was done from 1 to 5 years for the postoperative saliva fistula, facial paralysis and recurrence. Results The recurrence rate of these two approaehes is 6. 3% （5/79） and 5.3 % （2/38）respectively（ Х^2 analysis, P〉0. 05 ）, while the rate of saliva fistula（ Х^2analysis ,P〉0. 05 ） ,facial paralysis were much a like. Conclusion There is no difference on the clinical outcome of superficial parotid gland benign tumor treatment between these two surgical methods.
出处
《四川医学》
CAS
2010年第2期192-193,共2页
Sichuan Medical Journal
关键词
腮腺
良性肿瘤
手术
parotid gland
benign tumor
surgery
