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腮腺肿瘤是颌而部较常见的肿瘤。据北京医学院口腔病理室(1949至1974年)统计:涎腺肿瘤(包括良性恶性)占口腔颌面部肿瘤的19％(近1/5)。其中涎腺的良性肿瘤最多见是混合瘤、乳头状囊腺瘤、血管瘤、淋巴管瘤,等等。恶性肿瘤比较常见的如腺癌、腺样囊性癌、恶性混合瘤、粘液表皮样癌等。保存面神经腮腺切除术是颌面外科在治疗腮腺肿瘤(特别是混合瘤和其他低度恶性肿瘤)、慢性炎症等疾病中所经常采用的手术方法。本文着重对我科自1979年至1983年五年间所进行的88例(90侧)腮腺手术在术前、术中、术后的一些问题,谈谈笔者的一些粗浅的认识。临床资料性别:男性46例,女性42例(两例为双侧)。部位:左侧者男性29例,女性22例。右侧者男性21例,女性18例。年龄:最小者1岁,最大者75岁(表1)
Parotid gland tumor is more common jaw and tumor. According to the Beijing Medical College Oral Pathology room (1949-1974) statistics: salivary gland tumors (including benign and malignant) accounted for 19% of oral and maxillofacial tumors (nearly 1/5). The most common salivary gland tumors are mixed tumor, papillary cystadenoma, hemangioma, lymphangioma, and so on. More common malignant tumors such as adenocarcinoma, adenoid cystic carcinoma, malignant mixed tumor, mucoepidermoid carcinoma and so on. Preservation of facial parotid gland resection is a surgical method commonly used in maxillofacial surgery in the treatment of parotid tumors (especially mixed tumors and other low-grade malignancies) and chronic inflammation. This article focuses on my department from 1979 to 1983 five years carried out in 88 cases (90 side) parotid surgery in preoperative, intraoperative and postoperative problems, to talk about some of my superficial understanding. Clinical data Sex: male 46 cases, female 42 cases (two cases of bilateral). Location: The left male 29 cases, 22 females. The right side of 21 males and 18 females. Age: the youngest 1 year old, the oldest 75 years old (Table 1)