464例腮腺肿瘤回顾性分析

摘要

Objective: To analyse the epidemiology, morbidity, classification and diagnosis of parotid gland tumors. Methods: 464 hospitalized cases of parotid gland tumors in the Department of Oral and Maxillofacial Surgery, the affiliated hospital of medical school, Qingdao University from 2005 to 2010 were retrospectively studied. Results: The ratio of male to female and the cases of benign to malignant was 1.1:1 and 2.60:1 respectively. The proportion of parotid tumors was higher in the patients aged 30 to 70 years old. Pleo-morphic adenoma and adenolymphoma were the mostly encountered types of benign tumor; adenoid cystic carcinoma, adenocarcinoma and mucoepidermoid carcinoma were the malignant. Type-B ultrasonic, CT and MRI were routine methods in clinical examinations. Conclusion: The ratio of male patients and benign tumors was higher than that of female and malignant. Type-B ultrasonic, CT and MRI are helpful for clinical diagnosis of parotid gland tumors.%目的:总结腮腺肿瘤发病情况、构成特点及临床检查、诊断方法.方法:对青岛大学医学院附属医院口腔外科2005 ～2010年间经手术治疗的464例腮腺肿瘤患者的临床资料进行回顾性分析.结果:腮腺肿瘤发病男女性别及良恶性之比分别是1.1∶1和2.60∶1,30 ～70岁年龄段为腮腺肿瘤高发阶段,其构成比为74.24％.良性瘤中多形性腺瘤、腺淋巴瘤为多发瘤,而腺样囊性癌、腺癌、黏液表皮样癌分别列为恶性肿瘤前三位.B超、CT、MRI是常规检查手段.结论:男性肿瘤发病比女性高,良性肿瘤比恶性高.B超、CT、MRI有助于临床诊断.