腮腺区海绵状血管瘤的手术治疗

The Operative Treatment of Caveruous Hemangioma of Parotid Gland Region

目的:探讨腮腺区海绵状血管瘤手术治疗的可行性。方法:对60例经手术治疗的腮腺区海绵状血管的手术适应证,术前准备,术中注意点和术后并发症等作回顾分析。结果:血管瘤完全切除率为96.67％,术后复发率为3.33％,术中平均出血420ml,腮腺浅叶切除为主要术式,占66.67％,术后并发症为暂时性面瘫16.67％,永久性面瘫1.67％,Frey综合征40％,面部凹陷畸形13.33％,涎漏5％,继发性出血1.67％。结论:手术治疗腮腺区海绵状血管瘤是可行的,但应严格掌握适应证,加强术前、术中和术后处理。

Objective: To investigate the feasiblity of the surgical treatment of cavernous hemangioma of parotid gland region. Methods: The 60 cases with cavernous hemangioma of parotid gland region records of operative indication, preoprative prepare, attentions during sugical treatment and postoperative complications were retrospectively analysed. Results: The rate of hemangioma being fully removed was 96. 67% ; the recurrence rate was 3. 33% , the magnitude of bleeding was 420ml average during the operation; the postoperative complications were temporary facial never paralysis (16. 67%) .permanent facial never paralysis (1. 67%) .Prey's syndrome (40%) .parotid gland fistula (5%) .facial dimpling malformation(13. 33%). Conclusion:It is feasible to sugical treatment of cavernous hemangioma of parotid gland region, but the operative indication must be strict controled and the management must be intensified in preoperative operation and postoperative.