迷走神经副神经节瘤诊疗分析及文献复习  

Diagnosis and treatment of vagal paraganglioma(A report of three cases and literature review)

作　　者：龚宏勋[1] 陈十燕[1] 赵敏[1] 陈贤明[1] 

机构地区：[1]解放军福州总医院耳鼻咽喉头颈外科,福建福州350025

出　　处：《中国耳鼻咽喉颅底外科杂志》2017年第3期243-246,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨迷走神经副神经节瘤的临床特点,以提高诊断及治疗水平。方法 3例迷走神经副神经节瘤术前行影像学与专科检查后,均在全麻下行肿瘤完整切除,结合文献分析其临床表现、鉴别诊断及治疗方案。结果迷走神经副神经节瘤极其罕见,临床症状无特异性,常表现为颈部或咽旁的无痛性肿物,早期无呛咳、声音嘶哑等迷走神经受侵犯症状,术前诊断较困难,易误诊为神经鞘瘤而影响治疗。结论 CT、MRI对本病的诊断、手术方案制定有重大意义。正确选择手术径路及掌握手术技巧是手术成功及避免严重并发症的关键。Objective To improve the diagnosis and treatment level for vagal paraganglioma via exploring the clinical characteristics of this tumor. Methods Clinical data of 3 patients with vagal paraganglioma were analyzed retrospectively. The clinical characteristics, differential diagnosis and treatment of the tumor were discussed in combination with review of literatures. Results Vagal paraganglioma was a rare tumor that often appeared as a painless mass in the neck or parapharyngeal space. Preoperative diagnosis in early stage was difficult due to absence of special symptoms such as cough, hoarseness or other neurological symptoms. It was apt to be misdiagnosed as Schwannoma, which affected further treatment. Conclusion CT and MRI are significant in the diagnosis and operation strategy of this tumor. Proper selection of surgical approaches and consummate operation skill are keys for successful surgical treatment and avoidance of serious complications.

关 键 词：迷走神经 副神经节瘤 诊断 治疗 

分 类 号：R745.1[医药卫生—神经病学与精神病学]