鼻腔鼻窦神经鞘瘤的诊断与治疗  

Diagnosis and Treatment for Sinonasal Schwannoma

作　　者：戴艳红[1] 窦鑫[2] 陈骏[3] 林川耀[1] 后婕 李惠[1] 魏先梅[1] 李嘉怡[1] 佘万东[1] 

机构地区：[1]南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科,210008 [2]南京大学医学院附属鼓楼医院放射科 [3]南京大学医学院附属鼓楼医院病理科

出　　处：《中国中西医结合耳鼻咽喉科杂志》2015年第6期422-427,共6页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的探讨鼻腔鼻窦神经鞘瘤的诊断与治疗经验。方法回顾性分析2008年1月至2015年1月在我科住院并手术治疗的7例鼻腔、鼻窦及鼻咽部神经鞘瘤的病历、影像及病理切片资料,并随访其预后。结果本组共有7例鼻腔、鼻窦或鼻咽部的神经鞘瘤,其中鼻腔鼻窦神经鞘瘤5例,鼻咽部神经鞘瘤2例;5例在鼻内镜下手术切除,1例鼻侧切开径路切除,1例经硬腭径路切除;随访6个月至6年,均无功能障碍和复发。结论随着鼻腔内窥镜手术技术的提高和对鼻腔鼻窦神经鞘瘤影像学特征的熟悉,鼻腔鼻窦神经鞘瘤多可选择在鼻内镜下手术切除,完整切除后,肿瘤不易复发,受累及的神经无明显功能障碍。Objective To explore the diagnosis and treatment for sinonasal schwannoma. Methods Seven patients with sinonasal schwannoma who underwent surgery in our department between January 2008 and January 2015 were analyzed retrospectively. All of the medical records, medical radio-images, pathological sections were reviewed. Results Seven patients with sinonasal schwannoma were reviewed in this study. Five neoplasms were located in nasal cavity and/or nasal sinuses, two were mainly located in the nasal pharynx. Five of them （4 sinonasal schwannoma, 1 nasal pharyngeal schwannoma） were resected completely by nasal endoscopic surgery, the other two were resected by nasal lateral incision path and by hard palate surgery path, respectively. All of the patients were followed-up for 3 months to 6 years and no neurological dysfunction and no recurrence were found. Conclusions With the development of the endoscopic technique and the familiarization of the image feature of sinonasal schwannoma, most sinonasal sehwannoma can be resected by endoscopic surgery. Seldom sinonasal schwannomas are recurrent after complete resection and no dysfunction has been found in the involved sinonasal nerve.

关 键 词：神经鞘瘤 鼻腔鼻窦 诊断 治疗 

分 类 号：R739.62[医药卫生—肿瘤]