腮腺多形性腺瘤区域切除术与浅叶切除术的临床应用比较

Clinical comparison of application of regional parotidectomy and superficial parotidectomy in parotid pleomorphic adenoma

目的临床观察比较腮腺区域切除术与腮腺浅叶切除术两种术式手术时间、术后肿瘤复发率及并发症的发生情况，探讨腮腺部分切除术在治疗腮腺多形性腺瘤中的临床应用价值。方法选取局限于腮腺浅叶原发性腮腺多形性腺瘤60例，其中38例采用腮腺区域切除术，22例采用腮腺浅叶切除术，两组均随访3年。回顾性观察比较两种术式手术时间、术后肿瘤复发率及并发症的发生情况。所得数据运用SPSS16．0软件统计包进行统计分析，P〈0．05表示结果差异有统计学意义。结果腮腺区域切除术手术时间，术后面瘫、Frey综合征和涎瘘等并发症的发生率明显低于腮腺浅叶切除术，两组数据的差异具有统计学意义，P〈0．05。而两种术式术后肿瘤复发率无明显差异。结论腮腺区域切除术的术后并发症明显少于腮腺浅叶切除术，可以达到彻底切除肿瘤，防止复发的目的。

Objective To analyze clinical effect of regional parotidectomy by comparing operation time, postoperative recurrence and complications between regional parotidectomy and superficial parotidectomy. Methods In 60 patients with primary superficial parotid pleomorphic adenoma, 38 of them underwent the regional parotidectomy, and the rest 22 underwent superficial parotidectomy. A three-year follow-up visit was conducted on the both groups, retrospectively comparing on operation time, the incidence of postoperative tumor recurrence, and complications of the two surgical approaches. The results were analyzed with SPSS16.0. The significant level of statistics was P〈 0.05. Results The operation time and the incidence of postoperative complications of regional parotidectomy, such as facial palsy, Frey syndrome and salivary fistula, were markedly lower than superficial parotideetomy , P〈 0.05. The recurrence between the two surgical approaches reflected no difference. Conclusion Postoperative complications of regional parotidectomy were markedly less than those of superficial parotidectomy P〈 0.05. It is considered being effective in completely resecting the tumor and preventing recurrence.