传统切除术与部分切除术治疗腮腺浅叶良性肿瘤的效果观察

目的比较传统切除术与部分切除术在腮腺浅叶良性肿瘤治疗中的效果及并发症发生情况，以探讨腮腺部分切除术的临床应用价值。方法对104例腮腺浅叶良性肿瘤首发病例（肿瘤直径均≤3．0cm）。按手术顺序随机采用部分切除术和传统浅叶切除术，术后随访6个月～3年，观察并发症的发生率及肿瘤复发情况。结果采用腮腺部分切除术的患者术后切口平均长度、暂时性面瘫、Frey综合征发生率等方面与传统腮腺浅叶切除手术组比较，差异有统计学意义（P〈0．05）；两种术式随访期间均无发现肿瘤复发。结论腮腺部分切除术手术创伤小、术后并发症少，具有很高的临床推广价值。

Effect observation of conventional resection and partial resection for the treatment of superficial parotid benign tumor

Objective To compare the effect of conventional resection and partial resection in the treatment of superfi- cial parotid benign tumor and the situation of complications and discuss the clinical application value of parotidecto- my.Methods 104 cases of superficial parotid benign tumor initial cases （all of tumor diameter≤3.0 cm）,were randomly recorded to the operation of partial resection and conventional resection in operation sequence and followed up for 6 months to 3 years after the operation and observed the situations of the incidence of complications and tumor recur- fence.Results Comparisions between the traditional superficial parotid resection surgery group with parotid resection surgery group in the postoperative mean length of incision and the temporary facial paralysis and the incidence of Frey＇s syndrome,etc of patients,the statistical data had significant differences and had no found the tumor recurrence during the follow-up period in two kinds of operation.Conclusion Parotid gland resection has the advantages of small surgical trauma and less postoperative complications and a high clinical popularization value.