腮腺浅叶良性肿瘤区域性和浅叶切除临床研究

Comparison of regional excision with superficial parotidectomy on benign tumor in superficial Lobe of parotid gland

目的观察腮腺浅叶良性肿瘤区域性切除术和浅叶切除术的疗效及并发症发生率,为合理选择术式提供依据。方法回顾性分析2001年1月至2008年12月焦作市第二人民医院口腔科收治的68例腮腺浅叶良性肿瘤患者病历资料,其中腮腺区域性切除术38例,腮腺浅叶切除术30例。随访2～5年,记录肿瘤复发、面瘫、Frey综合征和涎瘘的发生例数。对所得数据进行分析。结果随访2～5年,所有患者均未复发。腮腺区域性切除术后并发症发生率13.15%,传统腮腺浅叶切除术为66.67%。结论腮腺区域性切除术可作为体积较小的腮腺浅叶良性肿瘤治疗的首选术式,具有手术创伤小、并发症少及肿瘤复发率低等优点。

Objective To compare the clinical results and complications of regional excision with those of superficial parotidectomy. Methods The clinical data of 68 cases of benign tumor in superficial lobe of parotid gland between January 2001 and December 2008 were analyzed retrospectively. Totally 38 cases underwent regional excision and 30 cases received superficial parotidectomy. All cases were followed up for 2 to 5 years. The recurrence rate and the incidence of facial paralysis, Frey syndrome and salivary fistula were recorded and analyzed. Results The incidence of surgical complications （facial paralysis, Frey syndrome and salivary fistula） were lower in regional excision group than that in superficial parotideetomy group, but the recurrence rate was not significantly different between the two surgical modalities. Conclusion Regional excision can be the prime operative method for benign tumor in superficial lobe of parotid gland, and it protects the main function of parotid gland, has lower recurrence rate of tumor and reduces various kinds of complications.