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对北京医科大学口腔医学院颌面外科1960年至1983年收治的SACC病例进行回顾性研究.选择未经治疗、就诊时无转移的原发SACC病例72例,用Cox回归分析对与血行转移可能相关的临床因素进行统计学处理.结果72例中26例出现血行转移,转移率为36%.与血行转移相关的因素有:部位——颌下腺、TNM分期、治疗方式、肿瘤切缘、术后复发.发生于颌下腺ACC易发生血行转移,腮腺ACC的血行转移率(50%)接近颌下腺(55%).临床上应特别注意此二腺ACC的手术范围.SACC的血行转移无法从临床因素中得到全面预知,应对其发生机制作更深入的研究.
A retrospective study was performed on the SACC cases admitted to the Department of Maxillofacial Surgery, School of Stomatology, Beijing Medical University from 1960 to 1983. A total of 72 primary SACC cases with no treatment and no metastasis at the time of treatment were selected. Cox regression analysis was used to determine the likelihood of metastasis. Related clinical factors were statistically processed. Results Among the 72 patients, 26 cases had hematogenous metastasis with a metastasis rate of 36%. The factors related to hematogenous metastasis were: site-submandibular gland, TNM stage, treatment method, tumor margin, postoperative Recurrence. Occurred in the submandibular gland ACC prone to hematogenous metastasis, parotid ACC hematogenous metastasis rate (50%) close to the submandibular gland (55%). Clinical attention should be paid to the scope of this two-ACC surgery. SACC blood transfer can not be from clinical factors Get a full-scale prediction of how to make a more in-depth study of its production.