摘要
目的分析口腔小涎腺肿瘤的临床特点,探讨其诊断方法和治疗原则.方法对我院1994~2004年收治的119例口腔小涎腺肿瘤患者的临床资料进行分析. 结果在119例口腔小涎腺肿瘤中,良性肿瘤有48例,占40.3%;恶性肿瘤有71例,占59.7%.良性肿瘤以多形性腺瘤最常见,占77.1%;恶性肿瘤以腺样囊性癌最常见,占43.7%;小涎腺肿瘤以腭部最为好发,占58.8%.通过统计分析,TNM分期﹑治疗方法﹑病理类型是影响患者生存率的主要因素,与发病部位﹑年龄﹑性别无关.结论外科手术是口腔小涎腺肿瘤的主要治疗方法.对于良性小涎腺肿瘤,足够的安全边界是减少复发的关键;对于恶性肿瘤,早期诊断及规范治疗是提高生存率的关键,对于中晚期患者除根治性手术外,还必须进行放射治疗.
Objective To Analyze the clinical feature of oral cavity ,explore its diagnosis methods and therapeutic principle.Methods Analyzing the data of 119 patients who suffered from salivary neoplasm from 1994 to 2004. Results Among 119 patients,48 cases were benign and 71 cases were malignant, accounting for 40.3% and 59.7%,among the benign neoplasm ,mixed tumor are higher than others, among the malignant, adenoid cystic carcinoma was higher than others, by statistic analysis, results showed the clinical stages ,therapeutic methods and pathologic style had significant relation with survival rate ,but no relations with age, location and sex. Conclusion Surgery is the important methods to treat the oral cavity minor salivary neoplasm. To benign neoplasm, adequate verge can reduce the recurrence rate, to malignant neoplasm, early diagnosis and early therapy can increase survival rate. Radiotherapy is essential for terminal carcinoma.
出处
《现代肿瘤医学》
CAS
2005年第1期93-94,共2页
Journal of Modern Oncology
关键词
口腔
小涎腺肿瘤
诊断和治疗
oral cavity
minor salivary neoplasm
diagnosis and therapy