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目的:了解老年人唾液腺肿瘤疾患的构成现状,为临床早期诊断和治疗提供依据。方法:回顾分析我科2000年1月—2009年12月10年间(21c10s)老年人唾液腺肿瘤住院患者的临床资料,并与20世纪90年代(20c90s)、80年代(20c80s)统计数据进行比较。结果:伴随着老年口腔颌面-头颈肿瘤患者住院人数的迅速增加,老年唾液腺肿瘤患者总数亦呈明显上升趋势,尤其是良性肿瘤患者数量快速上升。沃辛瘤首次成为最常见的老年唾液腺良性肿瘤。恶性肿瘤中,腺样囊性癌继续位居首位,而癌在多形性腺瘤中上升为第3位,并位居腮腺恶性肿瘤之首。小唾液腺良、恶性肿瘤构成比接近1∶1;而腭腺良、恶性比例倒置为1.34∶1。腮腺区发病仍最多见,其次为腭腺和下颌下腺。女性患者构成比有下降趋势。结论:21c10s老年唾液腺肿瘤构成现状与20c90s及20c80s资料有所不同,临床诊治工作中应注意其相应变化。
Objective: To understand the status of salivary gland tumor in the elderly and to provide evidence for the early diagnosis and treatment of the disease. Methods: The clinical data of hospitalized patients with salivary gland tumors in our department from January 2000 to December 2009 were analyzed retrospectively. The data were compared with the statistical data from the 1990s (20c90s) and the 1980s (20c80s). Results: With the rapid increase of the number of hospitalized elderly patients with oral and maxillofacial-head and neck cancer, the total number of elderly patients with salivary gland tumors also showed a clear upward trend, especially the number of patients with benign tumors rising rapidly. Worthin’s tumor became the most common benign salivary gland tumor in the elderly for the first time. Among malignant tumors, adenoid cystic carcinoma continues to rank first, while cancer rises to No. 3 in pleomorphic adenomas and ranks first in parotid malignancies. Small salivary gland good, the ratio of malignant tumors close to 1: 1; and palatal glands good, malignant ratio inverted to 1.34: 1. Parotid area incidence is still the most common, followed by the palatal gland and submandibular gland. Female patients constitute a downward trend. CONCLUSION: The current status of 21c10s elderly salivary gland tumors is different from that of 20c90s and 20c80s. The clinical diagnosis and treatment should pay attention to the corresponding changes.