区域性切除术治疗腮腺良性肿瘤67例临床分析

Regional excision of parotid gland for treatment of benign tumor: clinical analysis of 67 cases

摘要: 目的:探讨腮腺区域性切除术治疗腮腺良性肿瘤的临床价值。方法:对腮腺浅叶良性肿瘤67例中多形性腺瘤44例、淋巴瘤性乳头状囊腺瘤23例均采用区域性切除术治疗。结果:67例术后均一期愈合,有4例出现暂时性面瘫,给予维生素B₁、维生素B₂肌内注射,1~3个月后恢复。术后随访1~7年无一例复发。结论:腮腺区域性切除术显著缩短手术时间,减少了并发症,是治疗腮腺良性肿瘤值得提倡的方法。

Abstract: Objective: To investigate the effect of regional excision of parotid gland in treatment of benign tumor.Methods: A retrospective analysis of 67 cases of parotid gland superficial mass was carried out.Forty-four cases were proved to be pleomorphic adenoma of parotid and 23 cases papillary cystadenoma lympho-matosum of parotid.All the cases underwent regional excision of parotid gland.Results: All the cases were cured at one stage.Four cases presented temporary facial paralysis,which were treated by vitamin B₁ and vitamin B₂ injection and recovered within 1 to 3 months.The regional excision had the advantages of shorter operation time and less complication.No relapse was observed during the 1-7 year follow-up.Conclusions: Regional excision of parotid gland should be advocated for treatment of benign tumor.