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目的探讨腮腺复发性多形性腺瘤的再手术治疗方法及疗效。方法对2000年5月至2008年5月我院收治的37例腮腺复发性多发腺瘤患者行再手术治疗,手术方式分别为扩大切除术、腮腺全叶切除术、腮腺浅叶切除术,对6例多形性腺瘤恶变者术后给予放射治疗。结果 6例(16.2%)发生恶变者和手术次数无明显关系,与首次发病年龄较大有关系(P<0.05)。手术后平均随访时间为(4.3±2.6)年,除1例腮腺多形性腺瘤恶变患者在手术后45个月时复发外,其余36例均无复发情况。结论导致腮腺多形性腺瘤复发的主要原因是不恰当的手术方式。
Objective To investigate the reoperation treatment and efficacy of parotid recurrent pleomorphic adenoma. Methods From May 2000 to May 2008, 37 patients with parotid recurrent multiple adenoma admitted to our hospital underwent reoperation. The surgical modalities were extended resection, total parotidectomy of parotid gland and lobectomy of parotid gland. Six cases of malignant pleomorphic adenoma were given radiotherapy after surgery. Results Six cases (16.2%) had no significant correlation with the number of operations and the first age of onset (P <0.05). The average follow-up time was (4.3 ± 2.6) years after operation, except for one case of parotid gland adenoma malignant transformation recurrence 45 months after operation, the other 36 cases had no recurrence. Conclusions The main reason for the recurrence of parotid pleomorphic adenoma is an inappropriate surgical procedure.