手术治疗腮腺混合瘤120例临床疗效观察

目的探讨不同手术方式对腮腺混合瘤的临床治疗效果。方法选取2009年1月～2011年12月,我院收治的120例腮腺混合瘤患者为临床研究对象,根据手术方式的不同将患者随机分为研究组和对照组,每组60例。对照组患者采用传统的全腮腺切除术进行治疗,研究组患者行保留腮腺导管区域性肿瘤切除术。对两组患者术后并发症发生情况以及术后主要面神经分支功能损伤情况进行比较分析。结果两组患者通过4～6个月的随访,均无复发。与对照组患者相比,研究组患者的皮下积液或涎瘘、面瘫、Frey综合征以及面部明显凹陷畸形等并发症的发生率均显著下降,且下颌缘支、颊支以及颧支等面部主要神经分支功能损伤情况均显著降低,差别均具有统计学意义(P<0.05)。结论区域性腮腺肿瘤切除术疗效确切,效果显著,可作为腮腺混合瘤患者目前最为理想的手术方式之一。

Observation the Clinical Efficacy of Surgical Treating Patients with Mixed Parotid Tumor

Objective To probe into the clinical efficacy of different surgical methods treating mixed parotid tumor.Methods 120 mixed parotid tumor patients form January 2009 to December 2011 in our hospital were selected.Depending on the different surgical approach,patients were randomly divided into study group and control group（n=60）.The patients in control group were treated with traditional total parotidectomy excision,while patients in study group were treated with regional resection of the tumor of retained parotid duct.Patients in two groups were compared and analyzed the postoperative complications and postoperative functional damage of major nerve branches.Results By 4 to 6 months follow-up,the patients in two groups were no recurrence.Compared with control group,patients in study group,the incidence of complications for subcutaneous fluid or salivary fistula,facial paralysis,frey syndrome and facial obvious deformity were decreased significantly,only 1.67%,6.67%,10.00% and 6.67%,while functional damage of the marginal mandibular branch,buccal branch of zygomatic branch of facial nerve branches were significantly lower,only 10.00%,8.33% and 6.67%.There were statisticall significantce（P0.05）.Conclusions Regional parotid gland tumor resection is effective and significant in a mixed parotid tumor clinical application process.It can be used as a most ideal surgical approach for mixed parotid tumor patients.