1847例口腔颌面部肿瘤构成比分析

Analysis of the composition of oral-maxillofacial tumors in 1 847 patients

目的了解目前口腔颌面部肿瘤的构成现状,为临床治疗提供帮助.方法对 1 847例口腔科住院肿瘤患者的就诊年龄、性别、部位、组织类型及不同病种间的构成比进行统计分析.结果 1 847例中男女比例为 1.2:1.良性肿瘤患者938例,占50.8%;恶性肿瘤患者909例,占49.2%.腺源性肿瘤中,多性形腺瘤占87%.恶性肿瘤中,鳞状上皮细胞癌占60.8%;腺上皮癌中,腺样囊性癌占33.4%.结论口腔颌面部良性肿瘤以多性形腺瘤居首位,且发病率较高,腮腺为高发部位.恶性肿瘤中,鳞癌占首位,舌为最好发部位,女性患者有增加趋势,口腔癌的好发部位顺序为:舌、颊、龈、腭、口底,50～70岁组为发病高峰.

Objective To investigate the present proportional ratio of oral-maxillofacial tumors ,and to provide references for clinical treatment. Methods Eighteen hundred and forty seven cases of patients with oral and maxillofacial tumors in the First Affiliated Hospital of Anhui Medical University were collected and analyzed including their clinicopathologic feature,histological type,sex,age,site. Results The patients of tumors were 1 847 , among them, the ratio of male to female was 1.2 ∶1, the Benign tumors were 938 cases( 50.8%); malignant tumors 909 cases(49.2%). Pleomorphic adenoma accounted for 87%;Squamous cell carcinoma(SCC) 60.8%;Adenoid cystic carcinoma(ACC) 33.4%. Conclusion Pleomorphic adenoma is the the most common type in benign tumors and SCC ranks the first in malignances, tongue region is the most common site of occurrence,female constitution is increaaing,parotid region is the most common site of occurrence which should be paid more attention to in this area. In oral carcinoma,the site of occurrence stand the list from first to last is tongue, buccal, gingiva, palate, mouth floor,especially in 50～70 age old patients.