川东北地区颌下颈部包块临床病理剖析.docVIP

川东北地区颌下颈部包块临床病理剖析 　　摘要：目的 探讨川东北地区颌下颈 部包块的临床病理特征，提高诊断准确率。方法 收集我院收治的颌下颈部包块患者资料，对其病历资料进行回顾，分析构成比，对每种疾病包含的临床和病理特征进行对比。结果 总共110例病例包括20种疾病，全部经过病理确诊，其中肿瘤性肿块占比最大，先天性肿块占比最少，良性肿块较多见，良恶比=4.24∶1。结论 川东北地区颌下颈部包块患者具有独特的临床病理特征，疾病构成比与其他地区不同，需要结合临床表现，影像学结果和病理检查结果方能确诊。 　　关键词：川东北地区；颌下颈部包块；临床病理分析 　　中图分类号：R782 文献标识码：B 　　A Clinical and Pathological Analysis of the Inferior Cervical Mass in Northeastern Sichuan 　　QIU Ya，MI Fang-lin，JIA Ai-min，LI Li-hua 　　（Department of Stomatology，Affiliated Hospital of Chuanbei Medical College，Nanchong 637000，Sichuan，China） 　　Abstract：Objective To implore the clinical pathological characteristics of patients with submandibular and cervical masses in northeast Sichuan area and improve the accurate diagnosis rate.Methods The clinical data of patients with submandibular and cervical masses in our hospital was collected and analyzed retrospectively. Constituent ratio was analyzed.Clinical features and pathologic features were compared to find out related laws and effects of different diagnosis methods.Results A total of 110 cases involved in 20 kinds of disease were all perfomed by pathological diagnosis whose result showed the tumorous massess proportion was the largest ，however congenital masses accounting was the least， and benign was more than malignancy by contrast ratio = 4.24：1. Conclusion Patients with submandibular and cervical masses in northeast Sichuan possessd unique clinical pathological characteristics.The constituent ratio of these different kinds of disease was vary from other regions.Accurate diagnosis could be done by combining with the clinical manifestations， imaging and pathological examination results. 　　Key words：Northeast Sichuan area；Submandibular and cervical masses；Clinical and pathologic analysis 　　?M下颈部包块是头颈颌面外科常见的一组综合征，因其病因和组织来源比较复杂，病理类型多样，诊断常常比较困难。对我院收治的颌下颈部包块患者进行回顾分析，判断颌下颈部包块患者的临床病理特征，找到规律，以期对临床诊断治疗有一定的指导作用。 　　1 资料与方法 　　1.1一般资料 来自2011年9月～2015年8月我院颌面外科收治的以“颌下或颈部包块”首诊的住院患者，男性66例，女性44例，男∶女=1.5∶1，年龄1～83岁，中位年龄43岁，位于左侧68