[摘要] 目的：探讨腮腺囊肿的临床诊断要点和治疗方法。方法：对收治的27例腮腺囊肿的临床资料进行分析和总结。结果：27例患者中有22例于术前诊断为腮腺囊肿(腮腺内鳃裂囊肿)，5例在手术中行冰冻活组织检查，诊断为腮腺囊肿，术前诊断率达到81.5%。11例采用囊肿连同部分正常腺体切除术，16例采用保留面神经的腮腺浅叶及肿物切除术，术后切口均一期愈合，未有涎瘘发生，随访1～2年未有复发。结论：超声和穿刺检查，可提高腮腺囊肿的诊断率；对于腮腺囊肿的治疗主要在于手术彻底切除。
[关键词] 腮腺；囊肿；超声诊断
[中图分类号]R739.87 [文献标识码] B[文章编号] 1673-7210（2009）05（a）-210-02
Clinical analysis of 27 cases with parotid cyst
ZHU Lanxing
(Department of Stomatology, the Second Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou 450002, China)
[Abstract] Objective:To explore the clinical diagnosis and therapy of the parotid cyst. Methods:A retrospective analysis of 27 cases with parotid cyst were carried out. Results:In the preoperative diagnosis，22 cases were diagnosed as parotid cyst(branchial cleft cyst), the ratio of preoperative diagnosis was about 81.5%.All the operationswere successfully performed without any severe complications. All patients were followed up from 1 to 2 years，no recurrence was found. Conclusion:The examination of puncture and ultrasound can improve the diagnosis rate of parotid gland cyst. For the parotid cyst, the key point lies in the completely surgical excision.
[Key words]Parotid gland; Cyst; Ultrasound diagnosis
腮腺囊肿是一种相对少见的唾液腺囊肿，分潴留性囊肿与先天性囊肿两类，前者比较少见。（剩余2358字）