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本文就86例腭部涎腺肿瘤的不同手术方式的效果进行了3年以上的追踪,结果显示:64例良性肿瘤绝大多数以单纯切除为主,其复发率为19%,均为多形性腺瘤。22例恶性肿瘤,单纯切除者7例,扩大切除者9例,上颌骨次全切除者6例。6例行舌骨上淋巴清扫,3例行颈淋巴清扫。12例术后放疗。其复发率为41%,恶性肿瘤复发率明显高于良性肿瘤(P<0.05),22例恶性肿瘤不同手术方式效果的比较亦有明显的差别(P<0.05)。单纯切除者和扩大切除者的复发率分别为57%和44%,远远高于次全切除者(16%),作者认为,尽管涎腺肿瘤的颈淋巴结转移较少,但在发现或怀疑有颈部转移者,应作颈淋巴清扫术。
In this paper, the effect of different surgical methods of the parotid gland tumors in 86 cases was tracked for more than 3 years. The results showed that the majority of 64 benign tumors were mainly resectioned with a recurrence rate of 19%. All of them were polymorphic. Adenoma. Twenty-two cases of malignant tumors consisted of 7 cases of simple resection, 9 cases of extended resection, and 6 cases of subtotal resection of the maxilla. Six cases underwent suprahyoid bone dissection and three cases underwent neck dissection. 12 cases of postoperative radiotherapy. The recurrence rate was 41%, the recurrence rate of malignant tumors was significantly higher than that of benign tumors (P<0.05), and there were also significant differences in the effect of different surgical methods of 22 malignant tumors (P<0.05). The recurrence rates of simple resection and extended resection were 57% and 44%, respectively, far higher than those of subtotal resection (16%). The authors believe that although salivary gland tumors have less cervical lymph node metastasis, they are found or suspected. Patients with neck metastases should undergo neck dissection.