本文对209例腮腺肿瘤的病理分类、治疗和随访结果进行了分析和讨论,重点指出:(1) 腮腺肿瘤在颌面外科领域里是一种常见病,占颌面外科肿瘤的45%。(2) 不主张对腮腺肿瘤作术前活检或穿刺活检,必要时术中做冰冻切片,确定肿瘤性质及手术范围。(3) 第一次手术是治疗的关键,应做腮腺大部切除或全部切除,切不可做简单的肿瘤挖除,以免术后复发或导致多结节性(多灶性)生长。 This article analyzes and discusses the pathological classification, treatment and follow-up results of 209 cases of salivary gland tumors, highlighting: (1) Salivary gland tumors are a common disease in the area of ​​maxillofacial surgery, accounting for 45% of maxillofacial surgery tumors. (2) Preoperative biopsy or biopsy of salivary gland tumors is not advocated. If necessary, frozen sections are performed during operation to determine the nature of the tumor and the scope of surgery. (3) The first operation is the key to treatment. Most of the parotid glands should be resected or completely resected. Only simple tumor removal should be done to prevent postoperative recurrence or multiple nodular (multifocal) growth.