儿童腮腺区病损的诊疗特点

Diagnosis and characteristics of parotid region lesions in children

目的:通过临床病例资料分析了解儿童腮腺区病损的疾病谱,明确现有治疗方法下疾病的转归和预后。方法:分析170例腮腺区病损患儿的基础资料、入院临床症状、诊断结果、治疗方法、预后及随访情况。结果:170例腮腺区病损患儿中,先天性疾病83例(48.82%),脉管性肿物62例(36.47%),良恶性肿瘤17例(10.00%),炎性病变8例(4.71%);108例患儿接受手术治疗,34例患儿接受局部博来霉素注射治疗,28例患儿接受手术和局部博来霉素注射治疗。2例患儿术后复发经再次手术治愈;1例患儿出现面瘫,随访3个月后恢复。结论:儿童腮腺区病损最为常见的疾病是先天性疾病和脉管性肿物。手术结合博来霉素局部治疗是主要治疗手段且取得了显著的疗效。口服普萘洛尔对于腮腺区血管瘤有一定的治疗作用。

Objective:To observe the disease spectrum of the parotid region lesions in children,and clarify the outcome and prognosis of the disease by analyzing of clinical data.Method:The basic information,clinical symptoms,diagnosis results,treatment,prognosis and follow-up of 170cases with parotid region lesions were analyzed.Result:Among 170cases of the parotid region lesions,83cases(48.82%)were congenital disease,62cases(36.47%)were vascular mass,17cases(10.00%)were benign or malignant tumor,and 8cases(4.71%)were infectious disease;108cases of the patients were treated with surgery,34of them were treated with local bleomycin injection while 28cases were treated with both surgery and local bleomycin injection.Two cases was cured by reoperation after recurrence and 1case had facial paralysis but recovered after 3months of follow-up.Conclusion:The most common diseases of parotid region lesions in children were congenital disease and vascular mass.Surgery combined with bleomycin local treatment is the main therapy in parotid area and has achieved remarkable results.Oral propranolol has certain therapeutic value for parotid region hemangioma.