目的探讨腮腺浅叶良性肿瘤采用功能性切除术的临床效果。方法回顾分析2003年1月至2011年6月收治的腮腺浅叶良性肿瘤患者126例,其中65例采用功能性切除术(A组),61例采用传统腮腺浅叶切除术(B组),术后随访1～8年,观察2组术后并发症及肿瘤复发情况。结果 126例患者术后仅A组肿瘤复发1例。A组面神经损伤、面部畸形、Frey综合征、耳垂麻木发生率均低于B组(P均<0.05),涎瘘发生率B组虽稍高于A组,但差异无统计学意义(P>0.05)。结论腮腺浅叶良性肿瘤采用功能性切除术术后并发症明显减少,治疗效果优于腮腺浅叶切除术。 Objective To investigate the clinical effect of functional excision in parotid benign tumors. Methods A total of 126 patients with benign lesions of parotid gland, admitted from January 2003 to June 2011, were retrospectively analyzed. Sixty-five patients underwent functional excision (group A) and 61 patients underwent conventional parotidectomy (group B) The patients were followed up for 1 to 8 years. Postoperative complications and tumor recurrence were observed in both groups. Results In 126 patients, only group A had tumor recurrence in 1 patient. The incidence of facial nerve injury, facial deformity, Frey’s syndrome and earlobe numbness in group A were significantly lower than those in group B (all P <0.05). The incidence of salivary fistula in group B was slightly higher than that in group A, but the difference was not statistically significant (P> 0.05). Conclusions The complications of functional excision of benign tumors of parotid gland are significantly reduced, and the curative effect is better than that of parotidectomy.