内镜下经口径路咽旁间隙肿瘤摘除5例  

Surgical treatment of parapharyngeal space tumors via endoscopic transoral approach: a retrospective analyses of 5 cases

作　　者：罗兴谷 卢永田[1] 王晓彬[1] 

机构地区：[1]深圳市第二人民医院耳鼻咽喉科,广东深圳518035 [2]广州医科大学研究生院,广东广州510450

出　　处：《山东大学耳鼻喉眼学报》2014年第4期56-58,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨内镜下经口内径路摘除咽旁间隙肿瘤的适应证、手术技巧和优点。方法回顾性分析咽旁间隙肿瘤5例患者的病历资料,均在内镜下经口径路摘除。结果肿瘤摘除完整,出血20～60 mL,无严重并发症发生,术后5 d内出院。随访1～2年,无复发。结论 CT和MRI可较好地反映肿瘤所在位置、大小、范围,以及肿瘤与周围重要结构的关系和肿瘤的可能起源,为术前评估及选择合适的手术径路提供重要的依据。内镜下经口径路能完整切除位于颈动脉鞘内侧的良性肿瘤,且有颈部无瘢痕、并发症少等优点,不适用于包绕颈动脉鞘内结构、位于颈动脉后方及后外侧的肿瘤。Objective To investigate the surgical indications,technique,and advantages of resection of parapharyngeal space（ PPS） tumors through endoscopic transoral approach. Method Retrospective analysis were carried out in 5 parapharyngeal space tumors patients who received endoscopic transoral approach surgery. Results All the tumors were completely removed and the intraoperative blood loss was 20 ～ 60 mL. No serious complications occured and all the patiens were discharged in 5 days after the operation. No recurrence was found in a 1-2 years follow-up. Conclusion Preoperative CT and MRI provide useful clinical informations for surgical planning,such as tumor＇s location,size,state of invasion,the relationship with adjacent structures,and the likely origin. The endoscopic transoral approach is a good procedure to remove the tumors located anteromedially to the carotid sheath,with minimal invasiveness,no scar in the neck and few complication. However,it is not applicable for PPS tumors encasing the internal carotid arteries or located posterior or posterolateral to the carotid sheath,operative

关 键 词：咽旁间隙肿瘤 内镜下经口径路 外科手术 

分 类 号：R739.63[医药卫生—肿瘤]