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目的:探讨使用不同手术方式切除腮腺良性肿瘤的疗效。方法:选自我院自2009年12月至2012年12月收治的48例患者,分别采用单纯肿瘤摘除术、腮腺区域切除术、腮腺浅叶切除术和腮腺全叶切除术等不同术式切除腮腺良性肿瘤的术后疗效、并发症。结果:单纯肿瘤摘除术式与腮腺区域切除术、腮腺浅叶切除术、腮腺全叶切除术等术式的术后疗效和并发症有明显差异。结论:切除腮腺良性肿瘤的各种术式各有优缺点,应根据肿瘤的性质选择不同术式,单纯肿瘤摘除术操作简单,创伤小,并发症少,但复发率高,只适宜切除包膜完整的浅表、较小良性肿瘤,腮腺区域切除术、腮腺浅叶切除术和腮腺全叶切除术复发率低,但创伤大,并发症多,适宜切除无完整包膜或深叶的良性肿瘤。
Objective: To explore the use of different surgical resection of parotid benign tumors. Methods: Forty-eight patients were selected from our hospital from December 2009 to December 2012. Surgical removal of the parotid gland was carried out by using different procedures such as simple tumor excision, parotid regional resection, parotid gland lobectomy and parotidectomy. Postoperative effects of benign tumors, complications. Results: There were significant differences in the curative effects and complication between simple excision of tumor and parotidectomy, parotid gland lobectomy and total lobectomy of parotid gland. Conclusion: There are some advantages and disadvantages of various surgical procedures for the removal of parotid benign tumors. Different surgical procedures should be selected according to the nature of the tumor. Tumor resection is simple, less traumatic and has fewer complications, but the recurrence rate is high. Complete superficial, small benign tumors, parotid regional resection, parotidectomy and parotidectomy lobectomy recurrence rate is low, but the trauma, complications, suitable for resection without complete capsule or deep-leaf benign tumors .