腮腺浅叶部分切除术与浅叶切除术治疗腮腺浅叶良性肿瘤的回顾性研究

卢海彬; 马雯男; 于慧; 孙琳; 郭晓龄

doi:10.13201/j.issn.1001-1781.2017.12.002

腮腺浅叶部分切除术与浅叶切除术治疗腮腺浅叶良性肿瘤的回顾性研究

- 1 大连大学附属中山医院口腔颌面外科(辽宁大连, 116001);
- 2 大连医科大学附属大连市口腔医院牙体牙髓科

详细信息

通讯作者: 卢海彬,E-mail:1017393513@qq.com

中图分类号: R766.9

收稿日期: 2017-02-15

Retrospective study of partial superficial parotidectomy and superficial parotidectomy on superficial parotid benign tumor

- 1 Department of Oral and Maxillofacial Surgery, Zhongshan Hospital Affiliated to Dalian University, Dalian, 116001, China;
- 2 Department of Endodontics, Dalian Stomaological Hospital Affiliated to Dalian Medical University

More Information

Corresponding author: LU Haibin, E-mail: 1017393513@qq.com

Received Date: 15 February 2017

摘要

摘要: 目的:评估腮腺浅叶部分切除术(PSP)与浅叶切除术(SP)治疗腮腺浅叶良性肿瘤的疗效,为临床术式选择提供依据。方法:168例腮腺浅叶良性肿瘤手术患者根据术式不同分为PSP与SP两组,对比两组手术情况、并发症、复发率及腺体功能,相关数据采用SPSS 22.0软件进行统计分析。结果:PSP组手术切口长度和时间分别为(6.65±1.17)cm及(82.25±11.56)min,SP组分别为(10.86±1.65)cm及(121.42±17.32)min,PSP组优势明显(P＜0.01);PSP组并发症发生率显著低于SP组(P＜0.05);PSP组保留腮腺大部分功能,SP组无腮腺分泌功能;两组术后复发率无显著差异(P>0.05)。结论:PSP治疗腮腺浅叶良性肿瘤临床效果好,在复发率未见显著增加的前提下手术切口、范围、时间均显著减小,并发症发生率显著下降,且可有效保留腺体功能,是一种可靠、可行、值得推广的手术方法。
- 腮腺肿瘤 /
- 腮腺浅叶部分切除术 /
- 腮腺浅叶切除术 /
- 并发症
Abstract: Objective: To compare the clinical effect between partial superficial parotidectomy(PSP) and superficial parotidectomy(SP) through a retrospective analysis and to provide evidence for the benign tumor surgical strategy.Method: According to different surgical strategies performed, 168 patients with superficial parotid benign tumor were reviewed and divided into PSP group and SP group.Clinical data was compared between two groups from different aspects, including operation condition, complications, recurrence rate, as well as parotid function. SPSS 22.0 software was used in statistical analysis.Result: PSP group has an average operative incision length of(6.65±1.17)cm, and average operation time of(82.25±11.56)min, while SP group is(10.86±1.65)cm and(121.42±17.32)min. So, compared with the SP group, PSP has obvious advantages in operation conditions (P＜0.01).Furthermore,PSP group also presents an advantage over SP group in occurrence of postoperative complications (P＜0.05), while there is no significant difference between two groups in palindromia rate(P>0.05). As for the maintenance of parotid gland functions, PSP group could retain most of parotid functions, but no function would be retained in SP group.Statistical analysis confirms the significance(P＜0.05).Conclusion: Compared with SP, in PSP there is declined complication incidence but no increased palindromia recurrence. However, PSP has an apparent advantage on decreased surgical incision length, downscaled operation scope, reduced operation time and retained original functions of gland. All these advantages present the reliability and feasibility of PSP in treating superficial parotid benign tumor.
- parotid neoplasms /
- partial superficial parotidectomy /
- superficial parotidectomy /
- complications

HTML全文

参考文献(23)

[1]	LIN C C, TSAI M H, HUANG C C, et al.Parotid tumors:a 10-year experience[J].Am J Otolaryngol, 2008, 29:94-100.
[2]	刘红刚.头颈部肿瘤病理学和遗传学[M].北京:人民卫生出版社, 2006:277-278.
[3]	HOUSE J W, BRACKMANN D E.Facial narve grading system[J].Otolaryngol Head Neck Surg, 1985, 93:146-147.
[4]	中华口腔医学会口腔颌面外科专业委员会涎腺疾病学组.全国涎腺疾病学术会议纪要[J].中华口腔医学杂志, 2002, 37 (3):165-166.
[5]	胡玉坤, 聂攀, 后军, 等.功能性腮腺切除术在腮腺浅叶良性肿瘤手术中的应用[J].安徽医学, 2013, 34 (4):428-431.
[6]	WITT R L.The significance of the margin in parotid surgery for pleomorphic adenoma[J].Laryngoscope, 2002, 112:2141-2154.
[7]	WITT R L.Minimally invasive surgery for parotid pleomorphic adenoma[J].Ear Nose Throat J, 2005, 84:308-310.
[8]	周华, 金松.改良腮腺部分切除术在腮腺良性肿瘤治疗中的临床应用[J].汕头大学医学院学报, 2014, 27 (1):59-61.
[9]	段文锴, 王艳华.腮腺良性肿瘤两种切除术式的疗效比较[J].口腔颌面外科杂志, 2016, 26 (2):127-129.
[10]	李晨曦, 刘慧, 龚忠诚, 等.腮腺浅叶部分切除术与传统腮腺浅叶切除术治疗腮腺浅叶良性肿瘤效果的meta分析[J].中国口腔颌面外科杂志, 2016, 15 (3):263-269.
[11]	温玉明, 陈润良, 王昌美.腮腺多形性腺瘤腺体切除范围的病理依据[J].华西口腔医学杂志, 2003, 21 (5):359-360.
[12]	邱嘉旋, 朱声荣, 黄松, 等.腮腺多形性腺瘤并腺体区域性切除边界的界定[J].临床口腔医学杂志, 2008, 24 (1):30-31.
[13]	俞光岩, 马大权, 柳晓冰, 等.腮腺区域性切除术在沃辛瘤治疗中的应用[J].中华口腔医学杂志, 1996, 31 (6):372-374.
[14]	梁军, 荆少红, 吴振婵, 等.腮腺多形性腺瘤包膜特征与手术边界的确定[J].中国口腔颌面外科杂志, 2013, 11 (6):477-481.
[15]	LUKŠIC I, VIRAG M, MANOJLOVIC S, et al.Salivary gland tumours:25years of experience from a single institution in Croatia[J].J Craniomaxillofac Surg, 2012, 40:e75-81.
[16]	唐永川, 邹菡, 林诗耿.腮腺区肿瘤术后面神经损伤原因研究[J].世界最新医学信息文摘:电子版, 2014, 14 (5):45-45.
[17]	CHEN Y, WEI Y, YANG X D, et al.Modified Parotidectomy for Benign Tumors of Parotid Gland[J].J Oral Maxillofacial Surg, 2012, 22:117-120.
[18]	ZHOU P, CHEN Y, FEI X, et al.Partial parotidectomy in the treatment of parotid benign tumors[J].Stomatology, 2014, 34:98-99.
[19]	胡超, 王建华, 张纲, 等.腮腺区肿瘤术后发生面神经损伤的原因分析[J].中国美容医学, 2012, 21 (14):219-220.
[20]	TAYLOR S M, YOO J, MATTHEWS T W, et al.Frey's syndrome and parotidectomy flaps:A retrospective cohort study[J].Otolaryngol Head Neck Surg, 2000, 122:201-203.
[21]	赵刚.保留腮腺咬肌筋膜在腮腺肿瘤切除术中的临床意义[J].中国现代药物应用, 2016, 10 (1):43-44.
[22]	DZAMAN K, PIETNICZKA-ZAȽESKA M, PISK-ADȽO-ZBOROWSKA K, et al.Parotid gland tumours in the ENT Department in Miedzyleski Hospital in Warsaw between 2007 and 2014[J].Otolaryngol Pol, 2016, 70:34-40.
[23]	李扬, 王大章, 郑光勇.腮腺部分切除术后再生与代偿的动物实验研究[J].肿瘤学杂志, 2001, 7 (3):132-135.