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目的探讨腮腺多形性腺瘤的发病情况及临床特征。方法对317例经病理确诊为腮腺多形性腺瘤的患者进行回顾性分析,按WHO(1991)涎腺肿瘤组织学分类法进行诊断分类,观察其发病年龄、发病部位及手术后并发症及术后复发情况。结果317例病人中发生于腮腺232例,颌下腺43例,腭部41例。手术后发生暂时性面瘫15例,味觉出汗综合征6例。涎痿5例,复发12例。结论涎腺多形性腺瘤多发生于腮腺,首次手术完整切除病变是提高疗效的关键。治疗以外科手术为主,时并发症的防治是关键。
Objective To investigate the incidence and clinical features of parotid pleomorphic adenoma. Methods A retrospective analysis was performed on 317 patients diagnosed as parotid pleomorphic adenoma by pathology. According to WHO (1991) salivary gland tumor histological classification, the patients were diagnosed by age, disease location and postoperative complications After the recurrence of the situation. Results Of the 317 patients, 232 cases were found in the parotid gland, 43 in the submandibular gland, and 41 in the palate. 15 cases of temporary facial paralysis occurred after surgery, taste sweating syndrome in 6 cases. Amebiasis in 5 cases, 12 cases of recurrence. Conclusions Salivary gland pleomorphic adenoma mostly occurs in the parotid gland. The complete removal of the lesion for the first time is the key to improve the curative effect. The main surgical treatment, the prevention and treatment of complications is the key.