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目的观察腮腺浅叶良性肿瘤区域性切除术和浅叶切除术的疗效及并发症发生率,为合理选择术式提供依据。方法回顾性分析2001年1月至2008年12月焦作市第二人民医院口腔科收治的68例腮腺浅叶良性肿瘤患者病历资料,其中腮腺区域性切除术38例,腮腺浅叶切除术30例。随访2～5年,记录肿瘤复发、面瘫、Frey综合征和涎瘘的发生例数。对所得数据进行分析。结果随访2～5年,所有患者均未复发。腮腺区域性切除术后并发症发生率13.15%,传统腮腺浅叶切除术为66.67%。结论腮腺区域性切除术可作为体积较小的腮腺浅叶良性肿瘤治疗的首选术式,具有手术创伤小、并发症少及肿瘤复发率低等优点。
Objective To observe the curative effect and incidence of regional resection and light-lobe resection of parotid benign tumors and provide the basis for rational choice of surgical procedures. Methods The clinical data of 68 patients with benign parotid gland tumors treated in Department of Stomatology, Second People’s Hospital of Jiaozuo City from January 2001 to December 2008 were retrospectively analyzed. Among them, 38 cases were excised parotid regional excision and 30 cases were treated by parotidectomy . Followed up for 2 to 5 years, recorded the number of cases of tumor recurrence, facial paralysis, Frey syndrome and salivary fistula. Analysis of the data obtained. Results Follow-up 2 to 5 years, all patients did not relapse. Parotid regional resection after the incidence of complications was 13.15%, the traditional parotidectomy was 66.67%. Conclusions Regional parotidectomy can be used as the preferred surgical treatment for the treatment of benign tumors of the parotid gland. It has the advantages of less surgical trauma, less complications and low tumor recurrence rate.