Objective To investigate the method of improving diagnosis accuracy and recovery rate of parotid glandneoplasm.Methods A retrospective analysis on 138 cases of parotid gland neoplasm from 2005 to 2008 with a confirmed pathologic diagnosis was carried out.All the patients underwent superficial parotidectomy or extensive superficial parotidectomenl or total parotidetomy.Selective or function neck dissection was carried out in some cases.Postoperative radiotherapy was performed in all malignant cases.The patients were followed-up for 2-5years.Results There were 112 benign cases and 26 malignant cases.Only one benign tumor locally recurred.The localregional control rate of the benign tumor was 99.1％.The 3-year survival rate and local-regional control rate in malignant neoplasm were 69.2％ and 88.5％.The cervical lymph nodes metastasis rate was 19.2％ in postoperative pathologic study.Conclusion Surgery is still the first choice for parotid gland neoplasm; the surgical pattern should be chosen according to the situation of different patients.%目的 探讨提高腮腺肿瘤手术治疗水平和临床治愈率的方法.方法 对我院口腔科2005年5月至2008年5月收治的138例腮腺肿瘤患者病历资料进行回顾性分析,术式采用以保留腮腺主导管及深叶功能的腮腺浅叶切除术、浅叶扩大切除术叶及腮腺全切除术,必要时行颈部淋巴结清扫术,常规术中快速冰冻和术后病理检查,恶性肿瘤患者术后辅助性根治放疗.术后定期随访2～5年,评价治愈率、局部控制率、转移率等.结果 本组病例良性肿瘤112例、恶性肿瘤26例.138例患者中,126例治愈,治愈率为91.3％.随访良性肿瘤中1例多形性腺瘤术后复发,局部控制率为99.1％ (111/112),恶性肿瘤3年生存率和原发灶局部控制率分别为69.2％ (18/26)和88.5％(23/26),术后淋巴结转移率19.2％ (5/26).术中快速冰冻与术后常规病理符合率85.5％(118/138例).结论 腮腺良性肿瘤以改良术式为基本术式,采用腮腺浅叶肿瘤瘤体外0.5 ～1.0 cm的肿瘤及腺体部分切除.根据肿瘤具体情况可改变为腮腺浅叶扩大切除术或腮腺全切除术.快速冰冻是腮腺手术中的有效诊断方法.
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