腮腺浅叶良性肿瘤包膜外切除术与浅叶切除术的比较研究

目的:比较腮腺浅叶良性肿瘤包膜外切除术与浅叶切除术2种术式的术后复发率及并发症发生情况,为临床合理选择术式提供依据。方法:总结1994～2011年间收治的腮腺浅叶良性肿瘤506例,其中404例采用腮腺肿瘤包膜外切除术,102例行腮腺浅叶切除术,随访1～17年。结果:采用腮腺肿瘤包膜外切除术的病例术后面瘫、Frey综合征、涎瘘的发生率均低于腮腺浅叶切除术,而肿瘤的复发率无明显差异。结论:腮腺肿瘤包膜外切除术治疗腮腺浅叶良性肿瘤手术创伤小,并发症少,还可以保存腮腺大部分功能,值得在临床推广。

Comparison of Extracapsular Dissection and Superficial Parotidectomy in Parotid Benign Tumor

Objective: To evaluate and compare the clinical results of extracapsular dissection and superficial parotidectomy.Methods: 506 patients who underwent excision of the parotid benign tumor between 1994 and 2011 were reviewed.404 patients underwent extracapsular dissection and 102 patients received superficial parotidectomy.All patients were followed up for 1-17 years.Results: Surgical complications(facial paralysis,Frey′s syndrome and salivary fistula) were lower in extracapsular dissection than in superficial parotidectomy,but the recurrence rate was not significantly different between two surgical modalities.Conclusion: Extracapsular dissection could retain more parotid gland tissue,had less complications and can be the first choice for the treatment of parotid benign tumor.