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目的:探讨腮腺肿瘤发病的临床特点、发病情况、手术方法及预后。方法:对我科1999年至2006年间进行的腮腺肿瘤手术34例临床资料进行分析。结果:解剖面神经下腮腺浅叶及肿瘤切除术28例,术后并发涎漏2例,暂时性面瘫3例;解剖面神经下腮腺全叶及肿瘤切除术6例,并发颊支永久性面瘫1例,术后2a复发2例。结论:腮腺肿瘤以良性肿瘤为主,良性肿瘤的治疗行解剖面神经的腮腺浅叶切除术或解剖面神经的腮腺次全切除术;腮腺恶性肿瘤在未侵及面神经时行保留面神经的全腮腺切除术,术后辅以放疗,同时应注重快速冰冻病理在手术中的作用。
Objective: To investigate the clinical features, incidence, operation and prognosis of parotid tumors. Methods: The clinical data of 34 cases of parotid tumor surgery in our department from 1999 to 2006 were analyzed. Results: There were 28 cases of parotid gland lobectomy and tumor resection, 2 cases of concurrent salivary leak and 3 cases of temporary facial paralysis; 6 cases of parotid gland lobectomy and tumor resection in the anatomical nerve, and 1 case of permanent facial paralysis of buccal branch , 2 cases of recurrence after 2a. Conclusion: Parotid gland tumors are mainly benign tumors. The treatment of benign tumors is the treatment of parotid gland lobectomy or anatomical submucous resection of the facial nerve. The parotid gland tumor is a total parotidectomy that retains the facial nerve without invasion of the facial nerve , Supplemented with radiotherapy, should pay attention to the role of rapid frozen pathology in surgery.