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目的:探寻手术治疗涎腺肌上皮瘤的最佳方法。方法:随访41例颌面部涎腺肌上皮瘤术后的患者,统计分析其诊断正确率、治疗方法及治疗效果。结果:上腭部肌上皮瘤,术后复发率明显高于其他部位的肌上皮瘤,而“简单摘除法”术后复发率明显高于“局部扩大切除法”。所有病例术前诊断正确率只有2.4%。结论:对肌上皮瘤的术前正确诊断能指导选择适宜的手术方式,适当的局部扩大切除肿瘤能显著提高治疗效果,减少复发。
Objective: To explore the best method for the treatment of salivary myoepithelial neoplasia. Methods: Forty-one patients with postoperative maxillofacial myoepidermal tumors were followed up, and their diagnostic accuracy, treatment methods and treatment effects were statistically analyzed. RESULTS: The recurrence rate of upper myrenal myoepithelial neoplasia was significantly higher than that of myoepithelioma at other sites. The recurrence rate after “simple ablation” was significantly higher than that of “local extended enucleation”. Preoperative diagnosis of all cases was only 2.4%. Conclusion: Preoperative correct diagnosis of myoepithelioma can guide the selection of appropriate surgical methods. Proper local expansion of the resection of the tumor can significantly improve the therapeutic effect and reduce recurrence.