经颈和经口进路手术治疗茎突综合征的临床研究  

Clinical study on the different surgical therapies for the treatment of styloid process syndrome either via trans-cervical approach or via intra-oral way

作　　者：张少燕[1] 许耀东[1] 龚坚[1] 彭解人[1] 郑亿庆[1] 纪树芳[1] 

机构地区：[1]中山大学附属第二医院耳鼻咽喉科,广州510120

出　　处：《中国中西医结合耳鼻咽喉科杂志》2007年第5期350-352,325,共4页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的分析比较经颈和经口进路手术治疗茎突综合征的疗效及其优缺点。方法165例茎突综合征患者,经颈进路手术治疗130例,其中双侧行手术50例;经口进路手术治疗33例,其中双侧18例行手术;另2例采用经口和经颈联合进路手术,其中1例合并舌咽神经痛的患者术中同时行舌咽神经梳理术。术后随访观察,比较手术前后的临床资料和最终疗效。结果经颈进路患者术中出血量平均10ml,并发症发生率4.61%,茎突截断长度2.04±0.71cm,有效率为93.1%;经口进路患者术中出血量平均80ml,并发症发生率6.06%,茎突截断长度为1.81±1.05cm,有效率为84.8%。2例联合进路患者术后症状均得到缓解。结论二种手术进路的疗效和并发症发生率基本相近。应根据茎突触诊情况、术者的经验和患者要求决定手术进路的选择。Objective To investigate the therapeutic effects of different surgical therapies for the treatment of styloid process syndrome either via trans-cervical approach or via intra-oral way based on a comparative study among these different surgical therapies with their advantages and disadvantages, Methods Included in this study were 165 patients with styloid process syndrome,with 130 cases of them treated via the trans-cervical approach including 50 out of these 130 operated on in both sides, 33 cases of them treated via the intra-oral way including 18 out of these 33 operated on in both sides as well, and the rest 2 cases operated on by a combined way with trans-cervical approach and via intra-oral way with one of them simultaneously undergone glosspharyngeal nerve-combing to treat his glossopharyngeal neuralgia accompanied with the styloid process lesion. Then, all these cases were followed up to observe their response to different surgical therapies, with a comparison on the clinical date collected before and after the operation. Results In the 130 patients received the operation via trans-cervical approach, the averaged volume of bleeding was 10ml, with an incidence of complications being 4.61% ,the cut down length of styloid process being 2.04 ± 0.71cm and the effective rate being 93.1%. In the 33 patients performed the operation via intra-oral approach, the averaged volume of bleeding was 80ml, with an incidence of complications being 6.06 %, the cut down length of styloid process being 1.81 ± 1.05cm and the effective rate being 84.8%. The rest 2 patients received the operation via a combining way showed improved symptoms following the therapy. Conclusions These two surgical approaches are both effective for the treatment of styloid process syndrome, with very similar therapeutic effects and incidence of complications. The decision in the choice of surgical approach should depend upon several factors, such as the situation of styloid process as revealed by palpation, the clinical experience of operator with t

关 键 词：茎突综合征 手术方法 进路选择 

分 类 号：R766[医药卫生—耳鼻咽喉科]