天津317例腮腺肿物回顾性临床研究

Clinical analysis of 317 cases of parotid tumors in Tianjin

目的初步总结和分析10多年来天津腮腺肿瘤的临床特点变化，探索更佳的诊断和治疗腮腺肿瘤的方法。方法对2000年至2009年我院收治的317例腮腺肿物进行回顾临床分析，所有患者均进行手术治疗，恶性肿瘤患者术后进行相应后续治疗。结果317例腮腺肿物患者男性多于女性，年龄19～82岁，良性肿瘤比率大于恶性肿瘤，在良性肿瘤呈现腮腺Warthin瘤发病例数呈上升趋势。肿瘤手术治疗有效，良性6例复发，恶性5例复发。结论腮腺肿物构成比有变化的趋势。腮腺肿块的正确诊断与治疗方法意义重要，并且术式的选择对患者的肿瘤的复发率和生存质量有着重要意义。综合治疗可以提高恶性肿瘤患者生存率。

Objective To study the changes of clinical characteristics of parotid tumors treated in the past 10 years and study better diagnostic methods and therapeutic principles. Methods A retro- spective analysis on 317 cases of parotid gland mass from 2000 to 2009. All of the cases underwent sur- gery and malignant tumors combined with sequential therapy. Results Among the 317 cases of senile salivary gland tumors, males were more than females; the patients were at the age of 19 -80 years old; Benigns were more than malignants ; the percentage of Warthin tumor was larger. The operation was effec- tive, recurrence was observed in 6 cases of benign tumor and 5 cases of malignant. Conclusions The proportion of parotid tumors have tended to change. The accuracy diagnosis and therapy were very impor- tant in treatment of parotid tumor, and the choice of operation type is important to the recurrence and subsistence quality of patients. The combination therapy for the malignant tumors could increase the survival rates.