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对于腮腺良性肿瘤,外科手术是有效的根治方法。我们根据腮腺肿瘤的部位、大小及性质,采用个性化手术治疗腮腺良性肿瘤116例。其中,采用个性化区域性切除术59例中,发生暂时性面瘫5例,涎瘘及皮下积液12例,术后2周~3个月完全恢复;腮腺浅叶切除术+全切除术57例中,发生暂时性面瘫16例,涎瘘及皮下积液5例,经局部加压包扎2~3周后伤口均痊愈;面部畸形部分区域切除术改变较小,术后1年观察无明显面部凹陷畸形,而浅叶切除或全切除术面部凹陷畸形明显;Frey’s综合征,区域性切除术未发生,腮腺浅叶切除术发生1例,腮腺全切除术发生1例。本组病例均获随访1~3年,均未见肿瘤复发、未发生永久性完全性面瘫。腮腺良性肿瘤个性化切除术更具有针对性、手术创伤小、不增加复发率,可降低术后并发症的发生率。
For parotid benign tumors, surgery is an effective cure. According to the location, size and nature of the parotid tumor, we treated 116 parotid benign tumors with personalized surgery. Among them, in 59 patients with personalized regional excision, 5 cases of temporary facial paralysis, 12 cases of salivary fistula and subcutaneous effusion, complete recovery after 2 weeks to 3 months; parotidectomy + total resection Cases, temporary facial paralysis occurred in 16 cases, salivary fistula and subcutaneous effusion in 5 cases, after partial pressure dressing 2 to 3 weeks after the wounds were cured; facial deformity partial regional resection was changed little after 1 year of observation no significant Facial deformity deformity, and shallow lobectomy or total resection facial deformity obvious; Frey’s syndrome, regional resection did not occur in 1 case of parotid shunt, parotid total resection occurred in 1 case. The patients were followed up for 1 to 3 years, no tumor recurrence, no permanent complete facial paralysis. Parotid benign tumor resection more personalized, less trauma, does not increase the recurrence rate, can reduce the incidence of postoperative complications.