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50例腮腺肿瘤,均行手术切除.手术方式:单纯肿瘤切除术;腮腺浅叶切除+肿瘤切除术;腮腺全切术(保留面神经);腮腺全切术+面神经吻合术;腮腺全切术(保留面神经)+冷冻术.32例腮腺良性肿瘤患者,术后随访无一例复发.对18例恶性肿瘤患者年龄较大者,尤其出现面瘫症状或皮肤有破溃的患者,做腮腺全切,不保留面神经同时做扩大根治术.对年纪较轻患者考虑根治肿瘤同时尽量保留面神经.凡采用腮腺全切+扩大根治,同时给以冷冻、化疗或放疗措施者效果较满意.
All 50 cases of salivary gland tumors underwent surgical resection. Surgical methods: simple tumor resection; parotid superficial lobe resection + tumor resection; total parotid gland resection (reserve facial nerve); total parotid glandectomy + facial nerve anastomosis; total parotid gland resection ( Preservation of facial nerve + cryosurgery. 32 patients with benign parotid gland tumors were followed up for no recurrence. For 18 older patients with malignant tumors, especially patients with facial paralysis or skin ulceration, all parotid glands were removed. Preserve the facial nerve at the same time to do an extended radical mastectomy. For younger patients to consider curing the tumor while retaining the facial nerve as much as possible. Where the use of parotid gland full cut + extended radical treatment, while giving the effect of freezing, chemotherapy or radiotherapy are more satisfactory.