两种腮腺肿瘤切除术比较

目的：比较两种切除腮腺肿瘤手术疗效及并发症发生率，探讨保留腮腺功能、减少手术并发症及术后面部畸形的最佳方法。方法：将我院收治确诊的31例腮腺肿瘤患者分为2组，传统腮腺浅叶切除术20例（浅叶组），肿瘤包膜外0.5～1.0cm部分腺体连同肿瘤切除术11例（部分切除组）。结果：随访1～3年，浅叶组口干1例，部分切除术组无口干；两组分别有一过性额支症状1例和下颌缘支症状1例；浅叶组面部均不同程度出现凹陷畸形，部分切除组面部畸形不明显；两组随访期内均无复发。结论：肿瘤外0.5～1.0cm肿瘤与部分腺体切除术治疗腮腺良性肿瘤安全可行，面部畸形不明显，腮腺功能保留良好。

A comparative study on two surgical techniques for benign parotid tumors

Objective: To evaluate the results of superficial parotidectomy and regional resection both with preservation of the Steven′s duct. Methods： 20 cases were subjected to superficial parotidectomy and 11 cases to regional resection both with preservation of the Steven′s duct. Complications and treatment outcomes were analyzed. Result: The results of regional resection are better than those of superficial parotidectomy. Conclusion: Regional resection with preservation of the Steven′s duct is a possible alternative for some patients, especially those with benign parotid tumor.