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目的:比较腮腺浅叶良性肿瘤区域性切除术和浅叶切除术的临床疗效和并发症的发生率。方法:收集2006年9月~2012年9月长治市人民医院口腔科收治的84例腮腺浅叶良性肿瘤病历资料,其中采用腮腺浅叶切除术式38例,区域性切除术式46例。术后随访2~5年,记录术后复发、面神经损伤、涎瘘和Frey综合征的发生病例数,并对结果进行分析。结果:术后随访2~5年,接受两种手术的所有患者均未见肿瘤复发。腮腺区域性切除术后并发症的发生率17.39%,浅叶切除术后并发症的发生率39.47%。结论:腮腺区域性切除术适合于边界清楚、活动度好、直径较小的腮腺浅叶良性肿瘤,具有手术创伤小,并发症少及复发率低等优点。
OBJECTIVE: To compare the clinical efficacy and incidence of regional resections and shallow lobectomy in the treatment of benign parotid gland tumors. Methods: Eighty-four cases of benign lesions of parotid glandular tumors were collected from Department of Stomatology, Changzhi Municipal People’s Hospital from September 2006 to September 2012. 38 cases of parotid gland lobectomy and 46 cases of regional excision were used. The patients were followed up for 2 to 5 years. The number of recurrence, facial nerve injury, salivary fistula and Frey’s syndrome were recorded, and the results were analyzed. Results: All the patients who underwent both operations had no tumor recurrence after 2 to 5 years of follow-up. Parotid regional resection after the incidence of complications was 17.39%, the incidence of postoperative complications of light lobectomy 39.47%. Conclusion: Regional parotidectomy is suitable for benign tumor of parotid glandular lobes with clear border, good mobility and small diameter. It has the advantages of less trauma, fewer complications and lower recurrence rate.