345例腮腺肿瘤临床分析

目的]通过对我院近10年345例腮腺肿瘤的统计分析,探讨其发病原因、最佳治疗方案,提高腮腺肿瘤患者的治愈率及生存质量.方法]回顾我院近10年的腮腺肿瘤病例,随访其治疗效果及生存质量,进行统计分析.结果]345例腮腺肿瘤中,良性301例,恶性44例.良性肿瘤如多形性腺瘤、沃辛瘤的发病有增多的趋势.345例腮腺肿瘤患者中,326例行保留面神经、腮腺浅叶或全叶切除术,19例沃辛瘤患者行腮腺区域性切除术.术后效果良好,无面神经损伤及肿瘤复发病例.行腮腺区域性切除术者,无面部凹陷畸形、味觉出汗综合征,较好地保存了患侧腮腺功能.结论]腮腺良性肿瘤有增多的趋势,warthin瘤等好发腮腺后下极的肿瘤行腮腺区域性切除术,术后效果良好,保存了腮腺的功能,提高了患者的生存质量.

Clinical analysis on 345 cases of parotid tumors

【Objective】 To explore the incidence,pathogenesis and best therapeutic schedule for improving cure rate and life quality of patients with parotid tumors.【Methods】 Parotid tumor cases in the recent ten years in our hospital were followed for the cure rate and life quality and analized.【Results】 Among the 345 cases of parotid tumors,301 patients were benign tumors such as pleomorphic adenoma and Warthin tumor and these tumors have an increasing tendency and the rest 44 cases were malignant tumors.Among 345 cases 326 cases were treated with preserve facial nerve,superficial or whole leaf of parotid gland resection surgery,and 19 cases of Warthin tumors were treated by partial parotidectomy.The postsurgery effect showed well.No facial injury or recurrent case.The patients undertaking regional excision had no facial sunken abnormality or gustatory sweating syndrome and the function of the affected side was reserved.【Conclusion】 The benign parotid tumors having increasing tendency such as Warthin tumor are mostly in the perineum and posterior pole of the parotid gland,and showing good effects after the regional excision and reserve the function of the parotid gland and improve the life quality of the patients.