腮腺非肿瘤疾病179例的临床特点分析

Clinical characters of non-neoplastic diseases of parotid gland

目的 :研究分析腮腺非肿瘤疾病的发病特征、诊断和处理方法。方法 :收集我院 179例腮腺非肿瘤疾病 ,分类统计其发病部位、年龄和性别分布、病程及临床表现。结果 :本组腮腺非肿瘤疾病 179例 ,男性95例 ,女性 84例 ,男∶女约为 1∶1,发病年龄平均为 44.6岁 ,以慢性腮腺炎、淋巴上皮病及腮腺结核最常见 ,表现为单侧或双侧腮腺的肿块或肿大 ,绝大多数无其它合并体征。病程从发现病变 1周到 10年不等 ,15 8例经手术切除腮腺病变。结论 :腮腺非肿瘤疾病与腮腺肿瘤容易混淆 。

Objective: To analyses the characters, diagnostic methods and therapeutic principles of non-neoplastic diseases of parotid gland. Methods:179 cases (84 famale and 95 male) of non-neoplastic disease treated in our hospital from 1985 to 2000 were reviewed and analysed clinically.Results: The patients were at the age of 1.5～76 years old (44.6 for average) with the case histry of 1～10 years. Among the 179 cases,66 were of chronic parotitis,48 lymphoid tuberculosis,24 benign lympho-epithplial lesion,22 lymphadenitis and lymphadenovarix and 19 other benign lesion.158 cases were treated by operation and the diagnosis of them was confirmed by pathological examination after operation;21 were clinically diagnosed and treated with drugs. Conclusion: Non-neoplastic diseases of parotid gland are easily confounded with neoplastic diseases. Surgically resection is an effective method for diagnosis and treatment.