【摘要】：目的：了解唾液腺腫瘤的構(gòu)成特點，發(fā)病情況，探討合理治療方法。 方法：通過福建醫(yī)科大學附屬第一醫(yī)院口腔頜面外科2009年9月-2013年12月期間收治的374例唾液腺腫瘤病例的臨床資料進行回顧性分析。了解唾液腺腫瘤的構(gòu)成比、發(fā)病年齡。利用卡方檢驗，檢驗腫瘤類型、腫瘤部位與發(fā)病年齡和性別的關聯(lián)，檢驗水準P=0.05。 結(jié)果：唾液腺腫瘤好于發(fā)腮腺、頜下腺、腭部小涎腺，這三個部位為涎腺腫瘤原發(fā)部位的前三位，本組病例中良性腫瘤285例，占總體76.4%，惡性腫瘤89例。多形性腺瘤、腺淋巴瘤、基底細胞腺瘤是良性腫瘤的前三位，本院收治374例病例中有11例多次復發(fā)的多形性腺瘤，復發(fā)原因可能是首次手術方式的不恰當。腺樣囊性癌、腺泡細胞癌及粘液表皮樣癌為惡性腫瘤好發(fā)的前三位。良性腫瘤平均發(fā)病年齡為47.3歲，惡性腫瘤的平均發(fā)病年齡為50.1歲 結(jié)論：腮腺為唾液腺腫瘤的高發(fā)部位，良性腫瘤比惡性腫瘤多見，多形性是良性腫瘤中最多見的，且多形性腺瘤是良性腫瘤中最易復發(fā)的，，該組病例多形性腺瘤的復發(fā)率為5.97%。性別與唾液腺的組織病理類型有相關性。
[Abstract]:Objective: to understand the constitution and incidence of salivary gland tumor and to explore the reasonable treatment. Methods: the clinical data of 374 patients with salivary gland tumor treated in oral and maxillofacial surgery of the first affiliated Hospital of Fujian Medical University from September 2009 to December 2013 were retrospectively analyzed. To understand the constitution ratio of salivary gland tumor and the age of onset. Using chi-square test to test tumor type, tumor location and age and sex, test level P0. 05. Results: salivary gland tumors were better than parotid gland, submandibular gland and small salivary gland of palate. These three sites were the first three primary sites of salivary gland tumor. In this group, 285 cases were benign tumors, accounting for 76.4% of the total and 89 cases were malignant tumors. Pleomorphic adenomas, and basal cell adenomas are the first three benign tumors. Among 374 cases, 11 had multiple recurrent pleomorphic adenomas. The reason of recurrence may be the improper first operation. Adenoid cystic carcinoma, acinar cell carcinoma and mucoepidermoid carcinoma are the first three most common malignant tumors. The mean age of benign tumors was 47.3 years old, and the mean age of malignant tumors was 50.1 years. Conclusion: parotid gland is the most common site of salivary gland tumors, benign tumors are more common than malignant tumors, and pleomorphism is the most common among benign tumors. The recurrence rate of pleomorphic adenoma was 5.97. Sex was correlated with histopathological type of salivary gland.
【學位授予單位】：福建醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R739.87

【參考文獻】

相關期刊論文 前5條

1 高敏;陳艷;高巖;彭歆;俞光巖;;緊貼面神經(jīng)的腮腺多形性腺瘤的臨床病理特點及處理[J];北京大學學報(醫(yī)學版);2012年01期

2 陳竹林;任小平;;腮腺多形性腺瘤術后復發(fā)21例臨床分析[J];航空航天醫(yī)藥;2009年02期

3 李東紅;李天心;秦建武;;涎腺多形性腺瘤臨床治療[J];醫(yī)藥論壇雜志;2006年11期

4 丁鴻才;涎腺惡性腫瘤的診斷與治療[J];上�？谇会t(yī)學;1993年02期

5 儲眉;周健;楊宏宇;黃曉斌;陳鋼;李樹春;楊輝俊;羅娟;孫順濤;;腮腺復發(fā)性多形性腺瘤12例臨床分析[J];中國實用口腔科雜志;2008年02期

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