咽旁间隙肿瘤的手术入径  

Operative Approach for The Tumor of Parapharyngeal Space

作　　者：崔广学[1] 闫学勇[1] 韩小梅[1] 李文超[1] 

机构地区：[1]赤峰学院附属医院口腔科,内蒙古赤峰024000

出　　处：《内蒙古医学杂志》2006年第7期587-589,共3页Inner Mongolia Medical Journal

摘　　要：目的:本文旨在研究咽旁间隙肿瘤手术治疗的入路。方法:5例咽旁间隙肿瘤根据肿瘤的位置、大小、性质、来源分别采用颈侧入路、颈-腮腺入路和颈-下颌骨入路切除。结果:不同的手术入路有不同的手术视野,可使咽旁间隙内和相邻神经、血管、结构得到较好的保留。结论:对腮腺深叶来源、非哑铃状良性肿瘤和位置较低的茎突后间隙神经源性肿瘤,宜采用颈侧入路,对来自腮腺深叶、哑铃状良性肿瘤,宜采用颈侧-腮腺入路;对位置靠上、较大的茎突后间隙的神经源性肿瘤,宜采用颈侧-下颌骨入路。Objective：To explore the operative approach for the tumor of parapharyngeal space, Method：5 cases with tumors of parapharyngeal space were divided into three groups according to surgical incisions via the lateral neck, lateral neck - parotid and lateral neck - mandible. Results： Different operative approach could expose various vision of field for preserving nerves and blood vessels in parapharygeal space. Conclusions： It is important to select appropriate operative approach in tumor of parapharyngeal space. The approach of lateral neck has a clear operating vision of field for tumor behind inferior styloid process, that of lateral neck parotid for bell - like shape tumor and that of the lateral neck - mandible for tumor behind superior styloid process.

关 键 词：肿瘤 咽旁间隙 手术入路 

分 类 号：R776.81[医药卫生—眼科]