目的探讨腮腺良性肿瘤患者的手术治疗原则及预后的影响因素。方法回顾性分析208例腮腺良性肿瘤患者的临床资料、病理类型、发生部位、手术切除范围,影响预后的相关因素。结果腮腺区域性切除67例,腮腺浅叶切除141例;患者术后面神经损伤分别为6例(9.0%)、22例(15.6%),复发率分别为1例(1.5%)、2例(1.4%)。结论腮腺良性肿瘤的部位及大小是决定手术切除范围的主要根据,正确的手术范围,能减少手术的难度,降低面神经损伤概率,不增加术后的复发率。 Objective To investigate the surgical treatment of benign parotid tumors in patients with principles and prognostic factors. Methods Retrospective analysis of 208 cases of parotid benign tumors in patients with clinical data, pathological type, location, surgical resection range, the impact of prognosis related factors. Results There were 67 cases of parotid regional excision and 141 cases of parotid skin flap excision. Six cases (9.0%) and 22 cases (15.6%) had facial nerve injury after operation, respectively. The recurrence rates were 1 case (1.5%), 2 cases 1.4%). Conclusion The location and size of the benign parotid tumor are the main basis for determining the scope of surgical resection. The correct surgical range can reduce the difficulty of operation, reduce the probability of facial nerve injury, and not increase the recurrence rate.