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目的 探讨保留腮腺主导管腮腺浅叶切除的临床应用。方法 对 110例临床诊断为腮腺良性肿瘤或多形性腺瘤的病例作保留腮腺主导管腮腺浅叶加肿瘤切除手术。结果 10 6例病例得到 1~ 4年的随访。随访率96.3 %。无一例病例发生肿瘤复发。结论 腮腺肿瘤的复发和深叶腮腺组织剩留无内在联系。手术关键是保存有足够的安全切缘 ,严格掌握适应证和术中的准确操作。适合于位于腮腺浅叶、峡部和下极的良性肿瘤和临界瘤
Objective To investigate the clinical application of preserving parotid gland lobotomy. Methods A total of 110 cases of parotid benign tumor or pleomorphic adenoma were reserved for parotid gland lobes plus tumor resection. Results 106 cases were followed up for 1 to 4 years. The follow-up rate was 96.3%. No case of tumor recurrence occurred. Conclusion Parotid tumor recurrence and deep parotid gland tissue remnants no intrinsic relationship. The key to surgery is to save enough margin of safety, strictly control indications and intraoperative accurate operation. Suitable for benign and borderline tumors located in the parotid gland, isthmus and lower pole