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腮腺肿瘤的治疗方法主要是外科手术。随着诊断和手术方法的改进,特别是从采用腮腺摘除保留面神经的方法代替局部病灶切除以来,腮腺肿瘤(主要是多形性腺癌,或称混合瘤)的疗效已有显著提高,但由于腮腺肿瘤的生物学行为、病理解剖特点及其与腮腺面神经的密切解剖关系,致术后复发及面神经瘫痪的可能性仍然是医者和病员十分担心的问题。腮腺摘除保留面神经手术可经由两种解剖途径完成,其一为由近中向远中的离心性(Centrifugal)解剖法,即先剖露面神经总干,而后追索面神经各枝,解剖至腺浅叶边缘。其二系由远中向近中作向心性(Centri-petal)解剖。传统的向心性解剖法是先剖
The treatment of salivary gland tumors is mainly surgical. With the improvement of diagnosis and surgical methods, especially since the removal of preserved facial nerves using salivary glands instead of local lesion resection, the efficacy of salivary gland tumors (mainly polymorphic adenocarcinoma, or mixed tumors) has improved significantly, but due to parotid glands. The biological behavior, pathological anatomy of the tumor and its close anatomy with the facial nerve of the parotid gland cause the possibility of postoperative recurrence and paralysis of the facial nerve. The doctor and the patient are still very worried. Parotid gland removal and preservation of facial nerve surgery can be accomplished through two anatomical approaches. One is centrifugal centrifugation (Centrifugal) from the proximal to the distal, ie, the total facial nerve is first dissected and then the facial nerve is traced and the glands are shallowly dissected. Leaf edge. The second line was centripetal (Centri-petal) dissection. The traditional centripetal anatomy is the first