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目的:探讨腮腺混合瘤的可行性手术方式。方法:对98例腮腺混合瘤患者的病史进行回顾性分析。结果:本组均无永久性面瘫、无术后复发。其中52例(53.06%)腮腺区域性切除患者术后面部基本对称,其余中6例(6.12%)出现暂时性面瘫,3例(3.06%)出现腮腺瘘(2周后愈合),2例(2.04%)出现Frey综合征。结论:对于肿瘤最大径≤4 cm的腮腺混合瘤,行腮腺部分浅叶切除+部分深叶切除术是较为理想的术式选择;对于直径>4 cm则行腮腺全切除术。
Objective: To explore the feasibility of parotid mixed tumor surgical approach. Methods: A retrospective analysis of 98 patients with mixed parotid gland tumor was performed. Results: The group had no permanent facial paralysis, no recurrence. Among them, 52 cases (53.06%) had parotidectomy facial parietal symmetry, 6 cases (6.12%) had temporary facial paralysis, 3 cases (3.06%) parotid fistula (2 weeks later), 2 cases 2.04%) appeared Frey syndrome. Conclusion: Partial parotidectomy plus partial parotidectomy for the parotid gland tumor with the largest diameter less than 4 cm is an ideal operative choice, and for total parotid gland resection with a diameter> 4 cm.