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目的探讨腮腺肿瘤病理类型与手术方式。方法回顾性分析21例经手术及病理证实腮腺肿瘤的病历资料。结果21例腮腺肿瘤中良性肿瘤16例,恶性肿瘤5例。良性肿瘤16例。其中5例行肿瘤切除加腮腺区域切除,11例行肿瘤及腮腺浅叶或全腮腺切除。恶性肿瘤5例,全部行肿瘤加全腮腺切除,同时有3例行同侧颈淋巴结清扫,切除面神经者1例。结论腮腺良性肿瘤手术应保留面神经功能,在正常组织内切除肿瘤;恶性肿瘤宜行根治术,术后放疗或化疗。
Objective To investigate the pathological types and surgical methods of parotid gland tumor. Methods The clinical data of 21 parotid gland tumors confirmed by surgery and pathology were retrospectively analyzed. Results 21 cases of parotid gland tumor in 16 cases of benign tumors, 5 cases of malignant tumors. 16 cases of benign tumors. Among them, resection of the tumor was performed in 5 cases and excision of parotid gland was performed in 5 cases. Tumors of the parotid gland and parotid gland were excised in 11 cases. 5 cases of malignant tumors, all the tumors plus total parotidectomy, while 3 cases of ipsilateral neck lymph node dissection, excision of the facial nerve in 1 case. Conclusions Surgical treatment of benign parotid tumors should preserve facial nerve function and remove tumors in normal tissues. Malignant tumors should be treated with radical surgery, postoperative radiotherapy or chemotherapy.