经口径路咽旁间隙巨大良性肿瘤切除术(附6例报告)  

Tumorectomy by trans-oral approach of macrosis benign neoplasms in parapharyngeal space (reports of 6 cases)

作　　者：张华[1] 冯永[1] 蒋璐[1] 

机构地区：[1]中南大学湘雅医院耳鼻咽喉科,长沙410008

出　　处：《临床耳鼻咽喉头颈外科杂志》2010年第12期556-558,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨经口径路手术切除咽旁间隙巨大良性肿瘤的可行性。方法:采用经口径路切除6例患者咽旁间隙巨大良性肿瘤,其中气管切开3例。结果:6例肿瘤均顺利完整摘除,术后恢复良好,无并发症。其中神经纤维瘤2例,神经鞘膜瘤2例,多形性腺瘤2例。随访20个月～5年,无复发。结论:术前影像学检查对咽旁间隙良性肿瘤的诊断和治疗有重要价值,尤其可以了解肿瘤范围及其与颈内动静脉的毗邻关系。在此基础上选择合适患者行咽旁间隙巨大良性肿瘤切除术是可行的。Objective：To discuss the feasibility of tumorectomy by transoral approach of macrosis benign neoplasms in parapharyngeal space. Method： Retrospective analyze 6 patients of macrosis benign neoplasms in parapharyngeal space from January 2005 to May 2008, and all neoplasms were removed by transoral approach. Tracheotomy was performed in 3 cases. Result： The neoplasms were all removed completely and successfully, and postoperative recovery were good and no complications were found. There were 2 cases of neurofibroma, 2 cases of neurilemmoma, 2 cases of pleomorphic adenoma. There are no recurrence after 20 months to 5 years follow-up. Conclusion： Preoperative imaging examination is very important for diagnosis and treatment of benign neoplasm in parapharyngeal space, which is especially helpful to understand the scope of the tumor, and the relationship with carotid artery and vein. On this basis, it is feasible to select the appropriate cases to resect huge benign neoplasm in parapharyngeal space.

关 键 词：咽旁间隙肿瘤 成像 三维 外科手术 

分 类 号：R739.63[医药卫生—肿瘤]