腮腺多形性腺瘤区域性切除术与浅叶切除术的比较研究

Comparison of partial superficial parotidectomy and superficial parotidectomy in parotid pleomorphic adenoma

目的比较腮腺多形性腺瘤区域性切除术与浅叶切除术两种术式的术后复发率及并发症发生情况，为临床合理选择术式提供依据。方法总结1998年1月～2004年6月间收治的腮腺多形性腺瘤61例，其中24例采用腮腺区域性切除术，37例行腮腺浅叶切除术，随访时间3～9年。结果采用腮腺区域性切除手术的病例术后面瘫、Frey综合征、涎瘘的发生率均低于腮腺浅叶切除术，而肿瘤的复发率无明显差异。结论区域性切除术手术创伤小，并发症少，还可以保存腮腺一定的功能，可作为腮腺多形性腺瘤临床治疗的首选术式。

Objective To evaluate and compare the clinical results of partial superficial parotidectomy and superficial parotidectomy. Methods Sixty-one patients who underwent excision of the parotid pleomorphic adenoma between 1998 and 2004 were reviewed. Twenty-four patients underwent partial superficial parotidectomy and 37 patients received superficial parotidectomy. All patients were followed up for 3-9 years. Results Surgical complications （facial paralysis,Frey＇s syndrome and salivary fistula） were lower in partial superficial parotidectomy than in superficial parotidectomy, but the recurrence rate was not significantly different between the two surgical modalities. Conclusion Partial superficial parotidectomy could retain more parotid gland tissue, had less complications and can be the first choice for the treatment of parotid pleomorphic adenoma