21例咽旁间隙肿瘤的临床分析  

Clinical Analysis of 21 Cases with Parapharyngeal Space Tumors

作　　者：章超[1] 杨见明[1] ZHANG Chao;YANG Jian-ming(Department of Otorhinolaryngology Surgery, Second Affiliated Hospital of Medical University Of Anhui,Aefei,anhui provinc)

机构地区：[1]安徽医科大学第二附属医院耳鼻喉头颈外科,安徽合肥230601

出　　处：《系统医学》2018年第1期111-113,共3页Systems Medicine

摘　　要：目的探讨咽旁间隙病变手术方式的选择。方法分析2010年1月—2017年5月该院共收治的21例咽旁间隙肿瘤的临床资料。术前进行MRI及CTA或增强CT检查,了解肿瘤大小,与二腹肌后腹及颈鞘的关系。结果21例中,其中17例行颈侧切开径路,完整切除肿瘤17例。1例复发,术后1年,考虑恶变可能。2例经口腔内镜下切除。术后随访1年。2例未行手术,临床确诊为淋巴瘤,转入相关科室进一步治疗。结论手术治疗是咽旁间隙肿瘤的主要治疗方式,多数需颈侧入路可较好的暴露肿瘤,并完整切除瘤体,同时可根据肿瘤的位置及大小选择内镜下不同径路下肿瘤切除。Objective To study the selection of operation method of parapharyngeal space lesions.Methods The clinical data of 21 cases of patients with parapharyngeal space tumors admitted and treated in our hospital from January 2010 to May 2017 were analyzed, and the patients underwent MRI and CTA or enhanced CT examination, to know the tumor size and correlation with the posterior belly of digastric muscles and vagina carotica. Results Of21 cases, 17 cases underwent the cervical approach, and 17 cases with complete tumor resection, and 1 case reoccurred, and the lesions were considered in 1 year after surgery, and the tumors of 2 cases were removed under the oral endoscopy, and 2 cases did not undergo the surgery in 1 year after surgery, diagnosed with lymphoma in clinic, and converted into the related department for further treatment. Conclusion The operation treatment is the major way of parapharyngeal space tumors, and the cervical approach can better make the tumors exposed for most patients, and help remove the tumor body completely, at the same time, we can select the tumor resection by different approaches under endoscope according to the size and site of tumors.

关 键 词：咽旁间隙肿瘤 颈侧切开径路 二腹肌 

分 类 号：R739.6[医药卫生—肿瘤]