论文部分内容阅读
目的:分析沃辛瘤(Warthin瘤)的临床和病理特点,探讨和评价手术治疗方法。方法:对华西口腔医院近20年收治的155例沃辛瘤病例的临床资料进行回顾、总结,并对其手术方式及效果进行比较、评价。结果:男女患病比为13.1:1,发病年龄主要分布在50～70岁间,20年来沃辛瘤在腮腺良性肿瘤及所有腮腺肿瘤中的构成比均稳定上升,高龄患者的比例有逐渐上升的趋势,肿瘤直径<4cm者占82.2%。治疗沃辛瘤的手术方式包括:单纯摘除肿瘤;肿瘤连同周围部分腺体及淋巴结的区域性切除术;保留面神经的腮腺浅叶或腮腺大部分切除术。结论:沃辛瘤在发病情况、临床表现等方面具有自身的特点,应根据肿瘤的大小、位置、数目及有无伴发疾病等不同情况而采取不同的手术方式。
Objective: To analyze the clinical and pathological features of Warthin’s tumor and to discuss and evaluate the surgical treatment. Methods: The clinical data of 155 cases of Worthin tumor treated in Huaxi Stomatological Hospital in recent 20 years were reviewed and summarized. The surgical methods and effects were compared and evaluated. Results: The prevalence of males and females was 13.1: 1, and the age of onset was mainly between 50 and 70 years old. In the past 20 years, the ratio of Worthin tumors in parotid benign tumors and parotid tumors all rose steadily, and the proportion of elderly patients gradually increased The trend of tumor diameter <4cm accounted for 82.2%. Surgical treatment of Worthin tumor include: simple removal of the tumor; tumor with the surrounding part of the gland and lymph node regional excision; preservation of the parotid gland of the facial nerve most of the parotidectomy or resection. Conclusion: Worthin ’s tumor has its own characteristics in incidence, clinical manifestations and other aspects. Different surgical methods should be adopted according to the tumor size, location, number and presence or absence of associated disease.