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腮腺恶性肿瘤外科治疗130例分析
引用本文:方凤琴,刘文中,李树春. 腮腺恶性肿瘤外科治疗130例分析[J]. 肿瘤学杂志, 2004, 10(2): 98-100
作者姓名:方凤琴  刘文中  李树春
作者单位:辽宁省肿瘤医院,辽宁,沈阳,110042
摘    要:[目的]探讨腮腺恶性肿瘤的手术方法、面神经处理及预后.[方法]回顾分析130例住院手术病例,其中初治85例、复治45例、术前面瘫18例.行腮腺及肿块切除保留面神经87例,腮腺、肿块及面神经切除33例,扩大切除10例.[结果] 5年生存率为76.2%.其中术前有无面瘫分别33.3%、81.3%(P<0.01),有无颈淋巴结转移为54.2%、80.4%(P<0.01).[结论]腮腺恶性肿瘤的预后因素主要是术前有无颈淋巴结转移、面瘫、肿瘤的临床分期及恶性程度,首次术式选择合理是减少局部复发的关键.

关 键 词:腮腺肿瘤  外科学
文章编号:1671-170X(2004)02-0098-03

An Analysis of Surgical Treatment for 130 Cases of Parotid Gland Malignant Tumor
FANG Feng-qin,LIU Wen-zhong,LI Shu-chun. An Analysis of Surgical Treatment for 130 Cases of Parotid Gland Malignant Tumor[J]. Journal of Chinese Oncology, 2004, 10(2): 98-100
Authors:FANG Feng-qin  LIU Wen-zhong  LI Shu-chun
Abstract:To explore the surgical process,surgical management of facial nerve,and prognosis for parotid gland malignant tumors.One hundred and thirty operative patients were reviewed.The primary surgery were85cases and45patients underwent reoperation.Preoperative facial nerve paralysis occurred in18cases.Resection of parotid gland and tumor with preservation of facial nerve were performed in87cases;resection of parotid gland,tumor and facial nerve,33cases;extensive resection,10cases.The overall5-year survival rate was76.2%,that with and without preoperative facial nerve paralysis was33.3%and81.3%respectively(P<0.01).There was statistical differ-ence between patients with and without lymphatic metastasis(P<0.05).[Conclusion]The main prognostic factors of parotid gland malignant tumors are preoperative facial nerve paralysis,cervical lymphatic metastasis and tumor malig-nant degree.The rational primary operation is the key to decrease local recurrence.
Keywords:parotid gland neoplasms  surgery
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