[多形性腺瘤全保守性腮腺切除术的长期结果]
[Long-term results of total conservative parotidectomy for pleomorphic adenoma].
作者信息
Laccourreye O, Brasnu D, Cauchoix R, Jouffre V, Naudo P, Laccourreye H
机构信息
Service d'Oto-Rhino-Laryngologie et de Chirurgie cervico-faciale, Hôpital Laennec, Université Paris V.
出版信息
Presse Med. 1995 Nov 4;24(33):1563-5.
OBJECTIVES
Evaluation of the long-term results (10 and 15 years) achieved with total conservative parotidectomy for pleomorphic adenoma.
METHODS
A retrospective analysis of the files of 127 patients with pleomorphic adenoma of the parotid gland consecutively treated with a total conservative parotidectomy at our department from 1970 to 1985. Actuarial analysis (Kaplan Meier method) of survival and local recurrence, as well as overall estimation of immediate and definite postoperative facial paresis and paralysis was performed.
RESULTS
Ten- and fifteen-year survival and local control estimations were 90.8% and 99.1%, respectively. Immediate and permanent facial paresis and paralysis overall estimates were 64.6% and 6.3% and 2.1% and 0%, respectively.
CONCLUSION
Total conservative parotidectomy for pleomorphic adenoma results in a very high long term local control associated with a very low rate of facial dysfunction.
目的
评估多形性腺瘤全保守性腮腺切除术的长期效果（10年和15年）。
方法
回顾性分析1970年至1985年在我科连续接受全保守性腮腺切除术治疗的127例腮腺多形性腺瘤患者的病历。采用精算分析（Kaplan Meier法）评估生存和局部复发情况，并对面部即刻和远期轻瘫及瘫痪进行总体评估。
结果
10年和15年的生存率及局部控制率估计分别为90.8%和99.1%。面部即刻和永久性轻瘫及瘫痪的总体估计分别为64.6%和6.3%，以及2.1%和0%。
结论
多形性腺瘤全保守性腮腺切除术可实现很高的长期局部控制率，且面部功能障碍发生率极低。
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