中华口腔医学研究杂志(电子版) ›› 2009, Vol. 3 ›› Issue (04) : 410 -413. doi: 10.3877 / cma.j.issn.1674-1366.2009-04-010 × 扫一扫
临床研究
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Yuan-jian WEI1,†(), Shun-guang HU1, Li-hong LU1, Jing-na HUANG1, Wei-bing LIN1
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魏远坚, 胡顺广, 卢丽虹, 黄静娜, 林伟彬. 腮腺区域性切除术在治疗腮腺浅叶多形性腺瘤中的体会[J/OL]. 中华口腔医学研究杂志(电子版), 2009, 3(04): 410-413.
Yuan-jian WEI, Shun-guang HU, Li-hong LU, Jing-na HUANG, Wei-bing LIN. The clinical experience of partial superficial parotidectomy in the treatment of parotid pleomorphic adenoma[J/OL]. Chinese Journal of Stomatological Research(Electronic Edition), 2009, 3(04): 410-413.
目的
探讨腮腺多形性腺瘤两种术式的术后复发率及并发症发生情况，为临床合理选择术式提供依据。
方法
总结1999 年1 月至2007 年1 月间汕头市第二人民医院收治的腮腺多形性腺瘤90 例，其中44 例采用腮腺区域性切除术，46 例行腮腺浅叶切除术，随访时间2～9 年。
结果
采用腮腺区域性切除手术的病例术后面瘫、Frey 综合征、涎瘘的发生率均低于腮腺浅叶切除术，而采用两种术式肿瘤的复发率差异无统计学意义。
结论
区域性切除术手术创伤小，并发症少，还可以保存腮腺一定的功能，可作为腮腺多形性腺瘤临床治疗的首选术式。
Objective
To evaluate and compare the clinical results of partial superficial parotidectomy and superficial parotidectomy.
Methods
90 patients who underwent excision of the parotid pleomorphic adenoma between 1999 and 2007 were reviewed. 44 patients underwent partial superficial parotidectomy and 46 patients received superficial parotidectomy. All patients were followed up for 2～ 9 years.
Results
The incidence of surgical complications （facial paralysis， Frey syndrome and salivary fistula） were lower in partial superficial parotidectomy group than that in superficial parotidectomy group， but the recurrence rate was not significantly different between the two surgical modalities.
Conclusions
Partial superficialparotidectomy could retain more parotid gland tissue， had less complications and might be the first choice for the treatment of parotid pleomorphic adenoma.