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目的比较两种不同手术方式治疗腮腺多形性腺瘤术后疗效及并发症。方法32例采用肿瘤及瘤周腮腺组织区域性切除术,61例采用传统术式,即面神经解剖、肿瘤及腮腺浅叶或全腮腺切除术。通过半年~13年的随访,观察术后并发症及疗效。结果肿瘤及瘤周腮腺组织区域性切除术组并发症发生率远比传统术式组少。结论肿瘤及瘤周腮腺组织区域性切除术克服了传统术式腮腺手术的很多缺陷,具有操作简单、省时,面神经损伤、面部畸形等并发症少,效果良好。
Objective To compare the efficacy and complications of two different surgical methods for the treatment of parotid pleomorphic adenoma. Methods Thirty-two patients were treated by regional resection of tumors and parotid glands, and 61 patients were treated by traditional methods, namely facial nerve anatomy, tumors, and parotid superficial or total parotidectomy. After six months to 13 years of follow-up, postoperative complications and efficacy were observed. Results The incidence of complications in the regional resection group of tumors and parotid glands was much less than that of the traditional surgical group. Conclusion The regional resection of tumor and parotid gland tissue overcame many defects of the traditional surgical salivary gland surgery, with simple operation, time-saving, facial nerve damage, facial deformity and other complications, with good results.