腭部涎腺肿瘤116例临床分析.pdfVIP

· 26· 口腔医学 2008年第 l6卷第1期 Beiiing Journal of Stomatoloffv February 2008．Vo1．16．Nn 1 腭部涎腺肿瘤l16例临床分析 贾志宇 屈鹏飞 王维丽 张英怀 【摘要】 目的 探讨腭部涎腺肿瘤的临床病理类型、诊断及治疗方法。方法 对在1983年至2006年问住院 治疗的116例腭部涎腺肿瘤病人的临床病理类型、诊断、治疗、预后进行分析和总结。结果 116例中良性肿瘤71 例(61．21％)，以多形性腺瘤最为多见。恶性肿瘤45例(38．79％)，以腺样囊性癌最多见，黏液表皮样癌次之。肿 瘤发生在软腭者38例，硬腭者33例，软硬腭交界处者45例。114例经外科手术治疗，95例获3年以上随访，良性 肿瘤复发率为7．4％，恶性肿瘤复发率为22．0％。结论 腭部涎腺肿瘤治疗以手术切除为主，应重视术前组织学诊 断，尽量避免术后复发及并发症的发生。 【关键词】 腭肿瘤；涎腺肿瘤；诊断；治疗 【中图号】 R739．83 【文献标识码】A 【文章编号】 1006-673X(2008)O1-0026-03 Clinical analysis of 116 minor salivary gland tumors of paIate JIA Zhi—y-u，Qty Peng-fei，WANG We—li，ZHANG Ying— huai．Department ofOral and Maxillofacial Surgery，The 2nd hospital ofHebei Medical University，Shijiazhuang 050000， China 【Abstra~】 Objective To investigate the pathological classification，diagnosis and treatment of minor salivary gland tumours of the palate． Methods The pathological type，diagnosis，treatment and prognosis were analyzed in 1 16 consecutive cases with salivary gland tumo~of the palate from 1983 to 2006．Results Among the 1 16 cases of salivary gland tumom of the palate，71 cases(61．21％)were benign tumor and most of them were pleomorphic adenoma；45 cases (38．79％)were malignant tumor，of which most were adenoid cystic carcinoma and mucoepidermoid carcinoma took second place．Tirty—eight cases occurred in the soft palate，33 cases in hard palate and 45 cases at boundary of soft palate and hard pala~．A total of 114 patients were~eated by surgical operation．Ninety—five cases were fo~owed up for more than 3 years after surgery．Th e recurrence rate Was 7．4％ in benign tumor and 22．0％ in malignant tumor． Conclusion Surgical operation was the best therapy for salivary gland tumo~of the pala~．Histology diagnosis should be obtained before operation． 【Key words】 Palate；Salivary gland t