腮腺良性肿瘤的手术方式与术后复发和并发症

目的；研究腮腺良性肿瘤手术方式与复发和术后并发症的关系。方法 在１９８７～１９９７年手术治疗腮腺良性肿瘤５５例（单纯肿瘤除２０例，腮腺浅地切除２８例，全腮腺切除７例）的临床随访资料进行分析。结果 单纯肿瘤切除中肿瘤复发６例，并发持续性面瘫１例，腮腺浅叶切除中复发１０例，并发暂时性面瘫４例腮腺瘘２例，Ｆｒｅｙ综合征２例，腮腺全切除中复发１例，并发暂时性面瘫２例，持续性面瘫１例，腮腺瘘２例，Ｆｒｅｙ综

Clinic analysis of surgical treatment for benign parotid tumour 55 cases

To investigate the relationship between 3 kinds of surgical methods and the postoperative recurrence and complication of patients with the benign parotid tumours. Method: The records of benign parotid tumours cases (55 patients),who were treated in 1987~1997 at our hospital,were retrospectively analysed. The operative methods as follows: local excision (20 patients ),superficial parotidectomy (28 patients ), total parotidectomy (7 patients), facial nerve was anatomied during operation for 35 patients. Result:The rate of tumour recurrence,partial facial nerve paralysis,parotid gland fistula and Frey's syndroms after operation were 14. 6% (8/55 ), 14. 6 % (8/55 ), 7. 3 % (4/55 ) and 7. 3% (4/55 ) respectively. Conclusion: The operation of superficial parotidectomy or total parotidectomy should be per fromed for benign parotid tumour cases,facial nerve should be anatomied during operation,for reducing tumour recurrence and facial nerve paralysis.