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区域性切除在腮腺多形性腺瘤手术中的临床应用
引用本文:谢景华,高雄辉,吴晓钟,孟庆翔,何龙,王磊,梁赐芳. 区域性切除在腮腺多形性腺瘤手术中的临床应用[J]. 中国耳鼻咽喉头颈外科, 2006, 13(5): 281-282
作者姓名:谢景华  高雄辉  吴晓钟  孟庆翔  何龙  王磊  梁赐芳
作者单位:广州市第一人民医院耳鼻咽喉头颈外科,广东,广州,510180;广州市第一人民医院耳鼻咽喉头颈外科,广东,广州,510180;广州市第一人民医院耳鼻咽喉头颈外科,广东,广州,510180;广州市第一人民医院耳鼻咽喉头颈外科,广东,广州,510180;广州市第一人民医院耳鼻咽喉头颈外科,广东,广州,510180;广州市第一人民医院耳鼻咽喉头颈外科,广东,广州,510180;广州市第一人民医院耳鼻咽喉头颈外科,广东,广州,510180
摘    要:目的探讨腮腺多形性腺瘤保留腮腺主导管的区域性切除的可行性。方法对32例腮腺多形性腺瘤进行区域性切除,保留腮腺主导管。结果随访3年~6年无复发,暂时性面神经损伤率为3.1%,术侧腮腺导管唾液引流通畅。结论对腮腺多形性腺瘤,特别是一些小的多形性腺瘤,保留腮腺主导管的区域性切除,能较好地保留残余腮腺的功能及保护面神经。

关 键 词:腮腺  腺瘤  多形性  外科手术  选择性
收稿时间:2005-12-27
修稿时间:2005-12-27

Clinical significance of regional excision of parotid pleomorphic adenoma
XIE Jinghua,GAO Xionghui,WU Xiaozhong,MENG Qingxiang,HE Long,WANG Lei,LIANG Cifang. Clinical significance of regional excision of parotid pleomorphic adenoma[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2006, 13(5): 281-282
Authors:XIE Jinghua  GAO Xionghui  WU Xiaozhong  MENG Qingxiang  HE Long  WANG Lei  LIANG Cifang
Abstract:OBJECTIVE To investigate the feas-ibility of preserving parotid duct in regional excision of pleomorphic adenoma. METHODS 32 patients with parotid pleomorphic adenoma were treated by regional excision with the preservation of the parotid duct. RESULTS No relapse occurred during 3-6-year follow-up period. Transient facial nerve palsy occurred in only 3.1%(1/32) of patients and the drainage of the parotid duct on the surgical side was preserved. CONCLUSION Remaining function of the parotid gland function was preserved and the facial nerve was well-protected in the regional excision of pleomorphic adenomas, especially for patients with small pleomorphic adenomas.
Keywords:Parotid Gland  Adenoma  Pleomorphic  Surgical Procedures  Elective
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