标题：腮腺良性肿瘤的外科手术治疗方式及其并发症分析

      作者：黄晓悫，吕志刚，李万辉，吕龙辉，邓晓微
    (重钢总医院耳鼻咽喉头颈外科，重庆 400081)

      卷次： 2013年24卷19期

      【摘要】 目的 回顾性分析腮腺良性肿瘤的外科手术治疗方式的选择及其并发症。方法 收集我院
2007-2011年间83例腮腺良性肿瘤患者，行腮腺部分切除术21例，腮腺浅叶切除术43例，全腮腺切除术19例，随
访1~4年，分析其手术效果及并发症。结果 在本组病例中，均无肿瘤复发及永久性面瘫；在腮腺部分切除术中，
暂时性面瘫发生率为 14.3% (3/21)，Frey综合征为 4.8% (1/21)。在腮腺浅叶切除术中，暂时性面瘫为 39.5% (17/
43)，涎瘘为 14% (6/43)，Frey综合征为 16.3% (7/43)。在全腮腺切除术中，出现暂时性面瘫发生率为 52.6% (10/19)，
涎瘘为10.5% (2/19)，Frey综合征为15.7% (3/19)。结论 腮腺部分切除术并发症少，但有严格的手术适应证，腮
腺浅叶切除术手术疗效肯定，但并发症较多，术中尽量保护面神经，保留腮腺导管、耳大神经。全腮腺切除术术
后暂时性面瘫发生率最高。三种术式均有严格的适应证，不同部位的腮腺肿瘤应采用不同的手术切除方式，以
减少并发症的发生。

      【关键词】 腮腺肿瘤；面神经；并发症

      【中图分类号】 R736 【文献标识码】 A 【文章编号】 1003—6350（2013）19—2905—03


Analysis on the surgical methods and complications of benign parotid neoplasms.
HUANG Xiao-que, LV
Zhi-gang, LI Wan-hui, LV Long-hui, DENG Xiao-wei. Department of Otorhinolaryngology, the General Hospital of
Chonggang, Chongqing 400081, CHINA

【Abstract】 Objective To evaluate the different treatment outcomes and complications of benign parotid tu-
mour. Methods A retrospective study was carried out among 83 patients with benign parotid tumors treated surgical-
ly in our hospital from 2007 to 2011. All the patients were followed up for 1~4 years. The complications and treat-
ment outcomes were analyzed. Results There was no tumor recurrence and permanent facial paralysis. In the cases
of partial parotidectomy, the incidences of temporary facial paralysis and Frey syndrome were 14.3% and 4.8%, re-
spectively. In the cases of superficial parotidectomy, the incidences of temporary facial paralysis, gland fistula and
Frey syndrome were 39.5%, 14% and 16.3%, respectively. In the cases of total parotidectomy, the incidences of tempo-
rary facial paralysis, gland fistula and Frey syndrome were 52.6%, 10.5% and 15.7%, respectively. Conclusion Par-
tial parotidectomy can reduce postoperative complications, but it has strict surgical indications. Superficial parotidecto-
my results in good treatment outcomes, but the incidence of complications is high. During the operation, facial nerve
should be protected, and the Steven's duct, the greater auricular nerve should be preserved. After total parotidectomy,
·临床经验·doi:10.3969/j.issn.1003-6350.2013.19.1210