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目的探讨腭部肿瘤的临床特征和治疗原则。方法腭部肿瘤患者61例行手术治疗,良性肿瘤44例,其中腺源性良性肿瘤28例;恶性肿瘤17例,腺源性恶性肿瘤11例。良性肿瘤进行了局部切除,恶性肿瘤进行了局部扩大切除,部分使用局部或者颈部的组织瓣和脱细胞真皮基质进行修复,术后2例鳞状细胞癌患者进行放疗。结果良性肿瘤44例未见复发;恶性肿瘤11例中1例混合瘤恶变,术后2年局部复发;1例鳞状细胞癌术后1年出现肺部转移。结论腭部肿瘤以良性肿瘤为主,恶性肿瘤应根据情况进行放射治疗,并修复软腭的功能。
Objective To investigate the clinical features and treatment principles of palatal tumors. Methods Totally 61 patients with palatal tumor underwent surgical treatment. Twenty-four benign tumors were found, of which 28 were adenomatous benign tumors, 17 were malignant tumors and 11 were adenoid malignancies. Local resection of benign tumors, malignant tumors were partially enlarged resection, part of the use of local or cervical tissue flap and acellular dermal matrix for repair, 2 cases of squamous cell carcinoma patients after radiotherapy. Results There was no recurrence in 44 cases of benign tumor. One case of malignant tumor was malignant mixed tumor and local recurrence occurred 2 years after operation. One case of squamous cell carcinoma developed pulmonary metastasis one year after operation. Conclusions Palate tumors are mainly benign tumors. Malignant tumors should be treated by radiotherapy and repair the function of soft palate.