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不同手术方式治疗腭部涎腺肿瘤的临床观察

Clinical observation on different surgical methods for treating palatal salivary gland tumors

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【作者】 李匡政江义霞范晓升任倩颜子毅曹放云

【Author】 LI Kuangzheng;JIANG Yixia;FAN Xiaosheng;REN Qian;YAN Ziyi;CAO Fangyun;Department of Stomatology,the Second Hospital of University of South China;Department of Respiratory Medicine,the Second Hospital of University of South China;

【通讯作者】 江义霞;

【机构】 南华大学附属第二医院口腔科南华大学附属第二医院呼吸内科

【摘要】 目的观察不同手术方法治疗腭部涎腺肿瘤的临床效果。方法选择60例腭部涎腺肿瘤患者为观察对象,其中对照组30例良性肿瘤采取手术切除方式治疗,观察组30例恶性肿瘤采取手术切除联合放化疗治疗。观察两组患者的临床效果和复发率。结果观察组临床疗效优于对照组,总有效率高于对照组,两组比较,差异均有统计学意义(P <0. 05)。观察组复发率为30. 00%(9/30),明显低于对照组的46. 67%(14/30),差异有统计学意义(P <0. 05)。结论对良性腭部涎腺肿瘤采取单一手术治疗,可有效减少其复发率;而对恶性肿瘤采取手术联合放化疗治疗,具有明显疗效。

【Abstract】 Objective To observe the efficacy and recurrence rate of different surgical methods in the patients with palatal salivary gland tumors. Methods Sixty patients with palatal salivary gland tumors were selected as objects,including 30 cases in the control group treated by surgical resection and 30 cases in the observation group treated by surgical resection combined with radiochemotherapy. The clinical efficacy and recurrence rate of both groups were observed. Results The clinical efficacy was superior and the total effectiveness rate was higher in the observation group compared to the control group(P < 0. 05). The recurrence rate of the observation group was significantly lower than that of the control group[30. 00%(9/30)vs. 46. 67%(14/30),P < 0. 05]. Conclusion For benign palatal salivary gland tumors,single surgery can effectively reduce the recurrence rate. For malignant palatal salivary gland tumors,the combination of surgery and radiochemotherapy obtains obvious efficacy.

【关键词】 腭部涎腺肿瘤良性恶性手术放疗化疗复发
【Key words】 PalateSalivary gland tumorsBenignMalignantSurgeryRadiotherapyChemotherapyRecurrence rate
  • 【文献出处】 微创医学 ,Journal of Minimally Invasive Medicine , 编辑部邮箱 ,2018年05期
  • 【分类号】R739.8
  • 【被引频次】1
  • 【下载频次】71
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