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目的对腮腺肿瘤的临床和病理学特点进行分析,探讨诊断治疗中存在的问题。方法对2007年～2010年间收治的经组织病理学确诊的136例腮腺肿瘤的临床和病理学特点进行回顾性分析。结果 136例腮腺肿瘤中,良性肿瘤117例(86%),恶性肿瘤19例(14%),所有病历均行手术治疗,4例恶性肿瘤术后辅助放疗。术后有暂时性面瘫16例、涎瘘及皮下积液1例、味觉出汗综合征1例、永久性面瘫1例、恶性肿瘤复发1例。结论腮腺肿瘤手术治疗治愈率高,为首选治疗方式,术式选择可根据实际情况选决定,小的腮腺良性肿瘤实施瘤周正常腺体切除术,不增加复发率,并能减少腮腺手术的并发症。
Objective To analyze the clinical and pathological features of parotid tumors and to explore the existing problems in diagnosis and treatment. Methods The clinical and pathological features of 136 parotid tumors diagnosed by histopathology from 2007 to 2010 were analyzed retrospectively. Results Of the 136 parotid tumors, 117 (86%) had benign tumors and 19 (14%) had malignant tumors. Surgical treatment was performed on all medical records and adjuvant radiotherapy was performed on 4 cases of malignant tumors. Postoperative temporary facial paralysis in 16 cases, salivary fistula and subcutaneous fluid in 1 case, taste sweating syndrome in 1 case, permanent facial paralysis in 1 case, 1 case of malignant tumor recurrence. Conclusions Surgical treatment of parotid gland tumor has a high cure rate. It is the first choice for the treatment of parotid tumors. The choice of surgical procedure can be decided according to the actual situation. A small peritumoral gland excision is performed on the small parotid benign tumor, which does not increase the recurrence rate and reduces the complications of parotid gland surgery disease.