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72例老年腮腺肿瘤的临床诊治分析

Clinical analysis of parotid neoplasms in 72 aged patients

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【作者】 顾倩平孟箭孟庆飞张杰李志萍周海周建军

【Author】 GU Qian-ping,MENG Jian,MENG Qing-fei,ZHANG Jie,LI Zhi-ping,ZHOU Hai,ZHOU Jian-jun(Department of Stomatology,Affiliated Xuzhou Hospital,Medical College,Southeast University,Jiangsu 221009,China)

【机构】 东南大学医学院附属徐州医院口腔科东南大学医学院附属徐州医院麻醉科东南大学医学院附属徐州医院病案室

【摘要】 目的:探讨老年人颌面腮腺肿瘤的临床特点,提高手术治疗的安全性。方法:对8年来72例老年腮腺肿瘤患者的临床资料进行回顾性分析。结果:老年腮腺肿瘤男:女=1.77:1,良恶性肿瘤比为3.24:1;良性肿瘤中以多形性腺瘤发病率最高,恶性肿瘤以侵润导管癌居首。术前两种及两种以上的并存病较多。术后并发症中以循环系统并发症较高。结论:老年腮腺肿瘤患者具有合并症多、术后并发症发生率高等特点,术前必须重视全身情况的评估,积极治疗合并病,制定合理的的手术方式;术后积极预防和治疗可能出现的并发症,可以降低手术风险。

【Abstract】 Objective:To investigate the clinical characteristics of parotid neoplasms in aged patients.Methods:72 aged patients with parotid neoplasms in our department from 2002 to 2009 were reviewed and analyzed.Results:The ratio of male to female was 1.77:1,and the ratio of benign to malignant parotid neoplasms was 3.24:1.The proportion of pleomorphic adenoma in benign tumors and the proportion of salivary duct carcinoma in malignant tumors accounted respectively for the predominant incidence.More than one diseases concurred in most aged patients,and the postoperative complications occurred mostly in circulatory system.Conclusion:Aged patients with parotid neoplasms were characterized with more coexisted diseases and higher postoperative complications.The whole body conditions should be evaluated,the coexisted diseases should be treated,and a rational operative plan should be worked-out before operation.Probable postoperative complications should be prevented and treated actively to reduce the risk of operation.

【关键词】 老年人腮腺肿瘤
【Key words】 agedparotid neoplasms
【基金】 徐州市社会发展科技基金资助项目(XM08c045)
  • 【文献出处】 中华老年口腔医学杂志 ,Chinese Journal of Geriatric Dentistry , 编辑部邮箱 ,2010年03期
  • 【分类号】R739.8
  • 【被引频次】2
  • 【下载频次】74
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