腮腺区域性切除术在治疗腮腺浅叶多形性腺瘤中的体会

The clinical experience of partial superficial parotidectomy in the treatment of parotid pleomorphic adenoma

目的探讨腮腺多形性腺瘤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1999年1月至2007年1月间汕头市第二人民医院收治的腮腺多形性腺瘤90例,其中44例采用腮腺区域性切除术,46例行腮腺浅叶切除术,随访时间2～9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,而采用两种术式肿瘤的复发率差异无统计学意义。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 90 patients who underwent excision of the parotid pleomorphic adenoma between 1999 and 2007 were reviewed. 44 patients underwent partial superficial parotidectomy and 46 patients received superficial parotidectomy. All patients were followed up for 2 - 9 years. Results The incidence of surgical complications （facial paralysis, Frey syndrome and salivary fistula） were lower in partial superficial parotidectomy group than that in superficial parotidectomy group, but the recurrence rate was not significantly different between the two surgical modalities. Conclusions Partial superficialparotidectomy could retain more parotid gland tissue, had less complications and might be the first choice for the treatment of parotid pleomorphic adenoma.