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目的:探讨副腮腺区孤立性静脉畸形的临床表现、治疗与预后。方法:收集2002年至2009年收治的10例副腮腺区孤立性静脉畸形患者数据,包括人口学资料、临床表现、影像学表现、组织学和免疫组化结果、外科治疗方法和预后。结果:10例患者中,男女各5例,年龄25~70岁,平均42.8岁。病程从0.5个月~168个月不等,平均64.9个月。副腮腺区肿块大小从1.0 cm×0.8 cm~2.5 cm×2.5 cm,平均1.7 cm×1.5 cm。患者接受的影像学检查主要为超声多普勒和CT扫描。所有患者均接受不同入路下的手术切除。术后病理诊断均为静脉畸形。术后随访期间(2~94个月不等,平均41.2个月),未见复发病例。结论:对于副腮腺区孤立性静脉畸形,超声多普勒、CT扫描和细针穿刺细胞学检查,可帮助临床诊断,手术切除效果良好,复发少见。
Objective: To investigate the clinical manifestations, treatment and prognosis of isolated parotid gland region. Methods: The data of 10 cases of isolated venous malformations in the accessory parotid gland from 2002 to 2009 were collected, including demographic data, clinical manifestations, imaging findings, histological and immunohistochemical findings, surgical treatment and prognosis. Results: Among 10 patients, 5 were male and 5 female, aged from 25 to 70 years old, with an average of 42.8 years. Duration from 0.5 months to 168 months, an average of 64.9 months. The size of the parotid gland mass from 1.0 cm × 0.8 cm to 2.5 cm × 2.5 cm, an average of 1.7 cm × 1.5 cm. The main imaging modalities for the patients were ultrasound Doppler and CT scans. All patients underwent surgical resection under different approaches. Postoperative pathological diagnosis of venous malformations. During follow-up (ranging from 2 to 94 months, an average of 41.2 months), no recurrence was found. Conclusion: For the isolated parotid gland region solitary venous malformations, Doppler ultrasound, CT scan and fine needle aspiration cytology can help clinical diagnosis, surgical resection effect is good, recurrence rare.