中国农村卫生
中國農村衛生
중국농촌위생
CHINA RURAL HEALTH
2014年
z2期
56-57
,共2页
腮腺多形性腺瘤%区域性切除%扩展应用
腮腺多形性腺瘤%區域性切除%擴展應用
시선다형성선류%구역성절제%확전응용
Of parotid pleomorphic adenoma%Of the regional excision%Application
目的：探讨区域性切除在腮腺多形性腺瘤的扩展应用。方法：对阳信县人民医院口腔科2000年1月-2009年12月手术的72例行区域性切除的腮腺多形性腺瘤患者的病史进行回顾性分析并进行随访，分析内容包括病程、肿瘤大小、切除范围、术后病理、术后复发情况及并发症等。结果：在选择的72例肿瘤最大径均小于或等于4．5cm的患者中，均采用区域性切除术，切除组织周缘常规做快速病理，均未发现肿瘤细胞。最短随访5年，所有患者术后均未发生肿瘤复发。术后病理检查示6例（8．33％）部分区域包膜不完整，16例（22．2％）细胞生长活跃，偶见核分裂象，部分区域包膜有浸润。患者均未出现Frey综合征。结论：对于肿瘤最大径小于4．5cm的腮腺多形性腺瘤，行包含肿瘤在内的腮腺部分浅叶切除＋部分深叶切除术是安全的，既可取得与腮腺浅叶切除术相同的疗效，又可减少术后面神经麻痹和Frey综合征的发生率。
目的：探討區域性切除在腮腺多形性腺瘤的擴展應用。方法：對暘信縣人民醫院口腔科2000年1月-2009年12月手術的72例行區域性切除的腮腺多形性腺瘤患者的病史進行迴顧性分析併進行隨訪，分析內容包括病程、腫瘤大小、切除範圍、術後病理、術後複髮情況及併髮癥等。結果：在選擇的72例腫瘤最大徑均小于或等于4．5cm的患者中，均採用區域性切除術，切除組織週緣常規做快速病理，均未髮現腫瘤細胞。最短隨訪5年，所有患者術後均未髮生腫瘤複髮。術後病理檢查示6例（8．33％）部分區域包膜不完整，16例（22．2％）細胞生長活躍，偶見覈分裂象，部分區域包膜有浸潤。患者均未齣現Frey綜閤徵。結論：對于腫瘤最大徑小于4．5cm的腮腺多形性腺瘤，行包含腫瘤在內的腮腺部分淺葉切除＋部分深葉切除術是安全的，既可取得與腮腺淺葉切除術相同的療效，又可減少術後麵神經痳痺和Frey綜閤徵的髮生率。
목적：탐토구역성절제재시선다형성선류적확전응용。방법：대양신현인민의원구강과2000년1월-2009년12월수술적72례행구역성절제적시선다형성선류환자적병사진행회고성분석병진행수방，분석내용포괄병정、종류대소、절제범위、술후병리、술후복발정황급병발증등。결과：재선택적72례종류최대경균소우혹등우4．5cm적환자중，균채용구역성절제술，절제조직주연상규주쾌속병리，균미발현종류세포。최단수방5년，소유환자술후균미발생종류복발。술후병리검사시6례（8．33％）부분구역포막불완정，16례（22．2％）세포생장활약，우견핵분렬상，부분구역포막유침윤。환자균미출현Frey종합정。결론：대우종류최대경소우4．5cm적시선다형성선류，행포함종류재내적시선부분천협절제＋부분심협절제술시안전적，기가취득여시선천협절제술상동적료효，우가감소술후면신경마비화Frey종합정적발생솔。
Objective :To investigate the regional excision of parotid pleomorphic adenoma in the extended application of .Methods:the Yang xin County People's Hospital from 2000 January to 2009 December in Department of Stomatology operation in 72 cases of the regional excision of parotid pleomor-phic adenoma patients'medical history were analyzed retrospectively and follow -up analysis ,including course of disease ,tumor size ,extent of resec-tion ,postoperative pathology ,postoperative recurrence and complications .Results:in 72 cases of tumor selective maximum diameter is less than or e-qual to 4 .5cm patients ,using regional excision ,excision of tissue surrounding the routine pathological ,were not found in tumor cells .Minimum of 5 years of follow -up ,all patients had no tumor recurrence .6 cases of pathological examination showed postoperative (8 .33% ) part of the regional in-complete capsule ,16 cases (22 .2% ) with active proliferation ,occasional mitotic figures ,part of the regional capsular infiltration .Patients were not found in Frey syndrome .Conclusions:adenoma of parotid pleomorphic for maximal tumor diameter less than 4 .5cm ,which contains the tumor of pa-rotid gland excision ,part of the shallow leaf+part of the deep lobe resection is safe ,not only can obtain the same effect with superficial parotidectomy , and can reduce postoperative facial nerve paralysis and the incidence of Frey syndrome .
