咽旁间隙肿瘤48例报告  

Parapharyngeal space neoplasms

作　　者：熊新高[1] 杨成章[1] 汪广平[1] 刘邦华[1] 

机构地区：[1]同济医科大学附属协和医院耳鼻咽喉科,武汉430022

出　　处：《临床耳鼻咽喉科杂志》2000年第2期74-75,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :提高对临床少见的咽旁间隙肿瘤的诊断与治疗水平。方法 :对收治的 48例咽旁间隙肿瘤的临床资料进行回顾性分析。结果 :全部患者随访 6个月～ 9年 ,复发 4例 ,2例为良性肿瘤 ,再次手术治愈 ;2例恶性者分别死于术后 3年、1年 3个月。余均治愈。其中 ,并发声嘶 3例 ,呛咳 3例 ,伸舌偏斜 1例 ,Horner综合征 4例。结论 :原发性咽旁间隙肿瘤中 ,以神经源性肿瘤居多。CT、MRI对肿块的大小、形态、位置、周围的关系及继发改变能清晰显示 ;DSA对肿瘤血管显示清晰。颈侧径路为主要的手术径路。Objective:To explore the diagnose and management of parapharyngeal space (PPS) neoplasms.Method:Records of 48 patients with PPS neoplasms operated from 1988 to 1998 were reviewed.Result:Neurogenic tumors were the most common neoplasma in primary PPS neoplasms.CT and MRI could provide clinically informations such as their size,shape,extent and site.Tumor vessels could be clearly seen by carotid arteriography.The majority of PPS tumors were resected by a transcervical approach.Conclusion:CT and/or MRI are essential for diagnose and presurgical planing,Arteriography can be used only when CT or MRi suggest a glomous tumor,or possible involvement of carotid artery,or when those turmors put the carotid artery at a risk for surgical injury.Transoral approach may be used for small tumors and transparotid approach may be especially indicated for removing deep lobe parotid tumors with extention to the PPS. When there is a significant risk for injury the internal carotid artery radiological evidenceare are necessary for infratemporal approach.

关 键 词：头颈部肿瘤 咽旁间隙肿瘤 诊断 治疗 

分 类 号：R739.91[医药卫生—肿瘤] R739.63[医药卫生—临床医学]