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目的:总结腮腺深叶肿瘤的诊断及治疗方法。方法:收集41例腮腺深叶肿瘤的临床资料进行回顾性分析,对诊断、手术方式及临床效果进行比较评价。结果:肿瘤直径大于4 cm者37例,最大直径14 cm;41例中腮腺混合瘤31例,基底细胞腺瘤2例,肌上皮瘤1例,粘液表皮样癌3例,腺泡细胞癌2例,恶性混合瘤2例。治疗方式:肿瘤小于6 cm,术前细胞学检查为良性肿瘤者保留面神经腮腺深叶摘除术;肿瘤大于6 cm者,保留面神经全腮腺摘除术;恶性肿瘤全腮腺及面神经切除+颈淋巴结清扫术。良性肿瘤随诊1～7年无复发。恶性肿瘤4年后复发3例。结论:腮腺深叶肿瘤在发病情况、临床表现等方面具有自身的特点,应根据肿瘤的大小、位置、肿瘤性质采取不同的手术方式。
Objective: To summarize the diagnosis and treatment of parotid deep-leaf tumors. Methods: The clinical data of 41 cases of parotid deep-leaf tumors were collected and analyzed retrospectively. The diagnosis, operation method and clinical effect were compared and evaluated. Results: Thirty-seven cases with a diameter of more than 4 cm had a maximum diameter of 14 cm. There were 31 cases of parotid mixed tumor in 41 cases, 2 cases of basal cell adenoma, 1 case of myoepithelioma, 3 cases of mucoepidermoid carcinoma, 2 cases of acinar cell carcinoma 2 Cases, 2 cases of malignant mixed tumor. Treatment: tumor less than 6 cm, preoperative cytological examination of benign tumors reserved parietal deep parietal lobectomy; tumor greater than 6 cm were to retain facial nerve parotid gland extirpation; total parotid gland tumor and facial nerve resection + neck lymph node dissection . No recurrence of benign tumors followed up for 1 to 7 years. Malignant tumor recurrence in 4 cases after 3 cases. Conclusion: The parotid deep-leaf tumor has its own characteristics in incidence, clinical manifestations and other aspects. Different surgical methods should be taken according to the size, location and tumor nature of the tumor.