腮腺区静脉畸形的分型及手术治疗

Classifications and surgical treatments of venous malformations in parotid region

目的总结腮腺区静脉畸形的临床、病理特点及外科治疗经验。方法对39例腮腺区静脉畸形临床、病理特点及临床表现进行分析,将其分为周边型、蜂房型、网状型3种类型。针对不同类型采用直接分离摘除术、解剖面神经后做静脉畸形及腮腺浅叶切除术、静脉畸形及腮腺浅叶切除术结合平阳霉素局部留置等3种方法进行治疗。结果治愈26例,显效9例,有效4例。结论对腮腺区静脉畸形进行有效的分型对其手术方法的选用具有明确的指导意义。

Objective To summarize clinical and pathological characteristics and surgical experiences of venous malformations in parotid region. Methods 39 cases of venous malformations in parotid region were divided into peripheral, honeycomb-like and reticular three classifications according to clinical manifestations and histological characters. Surgical treatments were correspondingly selected as overall excision, overall excision and superficial lob of parotid excision after facial nerve dissection, overall excision and superficial lob of parotid excision combined with pingyangmycin injection. Results 26 cases were cured,9 cases with excellent result and 4 cases with effective result. Conclusions The new effective classification of venous malformations in parotid region can be a guide to the selection of the therapy on them.