论文部分内容阅读
目的：探讨儿童涎腺上皮性肿瘤的发病特点及诊疗要点。方法：对４５例经病理证实的１６ 岁以下儿童涎腺上皮性肿瘤患者的临床资料进行统计分析。结果：儿童涎腺上皮性肿瘤，男女之比为１．１４：１；发病平均年龄为１０．３４岁，随着年龄的增大，患病比随之增高，但年龄越小患恶性肿瘤的可能性愈大，且恶性程度愈高；发病部位以腮腺、颌下腺及腭部多见，大小涎腺间良恶性肿瘤患病比无明显差别；良性肿瘤以多形性腺瘤常见，恶性肿瘤以粘液表皮样癌最常见。良性肿瘤术后少有复发，恶性肿瘤复发率约占被随访者的５０％ 。结论：对儿童涎腺上皮性肿瘤，尤其是患儿年龄愈小时，患恶性肿瘤的可能性更大，应引起高度警惕。恶性肿瘤手术应彻底，不可因患儿年龄小过分强调保留面神经而增加复发的机会。
Objective: To investigate the characteristics and diagnosis and treatment of salivary gland epithelial tumors in children. Methods: The clinical data of 45 salivary gland epithelial tumors confirmed by pathology in children under 16 years of age were analyzed statistically. Results: The salivary gland epithelial tumor in children, male to female ratio was 1.14: 1; the average age of onset was 10.34 years old, with age, the prevalence increased, but younger patients with malignant tumors The greater the possibility, and the higher the degree of malignancy; the incidence of parotid gland, submandibular gland and palate more common, the size of benign and malignant tumors between the salivary glands than no significant difference; benign tumors with pleomorphic adenoma common, malignant mucus Epidermoid carcinoma is the most common. No recurrence of benign tumors after surgery, the recurrence rate of malignant tumors accounted for about 50% of respondents. Conclusion: Salivary gland epithelial tumors in children, especially children with younger age, the possibility of more malignant tumors should be caused by a high degree of vigilance. Malignant tumor surgery should be thorough, can not be too young children too much emphasis on preserving the facial nerve and increase the chance of recurrence.