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目的：研究腮腺良性肿瘤手术方式与肿瘤复发和术后并发症的关系。方法：对1987～1997年手术治疗腮腺良性肿瘤55例（单纯肿瘤切除20例；腮腺浅叶切除28例；全腮腺切除7例）的临床随访资料进行分析。结果：单纯肿瘤切除中肿瘤复发6例，并发持续性面瘫1例；腮腺浅叶切除中复发10例，并发暂时性面瘫4例，腮腺瘘2例，Frey综合征2例；腮腺全切除中复发1例，并发暂时性面瘫2例，持续性面瘫1例，腮腺瘘2例，Frey综合征2例。结论：腮腺良性肿瘤应施行腮腺浅叶切除或全腮腺切除，术中解剖和保护面神经可减少肿瘤复发和持久性面瘫。
Objective: To study the relationship between surgical methods of benign tumors of the parotid gland and tumor recurrence and postoperative complications. Methods: From 1987 to 1997, the clinical follow-up data of 55 cases of benign parotid tumors (20 cases of simple tumor resection, 28 cases of parotid superficial lobe resection and 7 cases of parotid resection) were analyzed. RESULTS: Six tumors recurred during simple tumor resection and one with persistent facial paralysis. There were 10 recurrences in the resection of parotid lobes, 4 cases with temporary facial paralysis, 2 cases of parotid gland paralysis, 2 cases of Frey’s syndrome, and 2 cases of total parotid gland resection. In 1 case, there were 2 cases of concurrent facial paralysis, 1 case of persistent facial paralysis, 2 cases of parotid gland paralysis, and 2 cases of Frey syndrome. Conclusion: The parotid gland benign tumor should be performed with superficial parotidectomy or total parotidectomy. Dissecting and protecting the facial nerve during the operation can reduce tumor recurrence and persistent facial paralysis.