内镜辅助下经口入路与口外入路切除咽旁间隙巨大良性肿瘤的效果比较  

Endoscopy-assisted transoral approach versus external approaches in resection of large benign parapharyngeal space tumors

作　　者：林诗耿 徐雄均[2] 陈洋[1] 李劲松[3] 范松 LIN Shi-geng;XU Xiong-jun;CHEN Yang;LI Jin-song;FAN Song(Department of Oral and Maxillofacial Surgery,Hainan General Hospital,Affiliated Hainan Hospital of Hainan Medical University.Haikou 570311,Hainan Province;Department of Stomatology,The Third Affiliated Hospital of Sun Yet-sen University.Guangzhou 510620,Guangdong Province;Department of Stomatology,Sun Yat-sen Memorial Hospital,Affiliated to Sun Yat-sen University.Guangzhou 510120,Guangdong Province)

机构地区：[1]海南省人民医院·海南医学院附属海南医院口腔颌面外科,海南海口570311 [2]中山大学附属第三医院口腔科,广东广州510620 [3]中山大学附属孙逸仙纪念医院口腔颌面外科,广东广州510120

出　　处：《中国口腔颌面外科杂志》2020年第1期28-32,共5页China Journal of Oral and Maxillofacial Surgery

基　　金：国家自然科学基金（81460105）

摘　　要：目的:比较内镜辅助下经口入路(endoscopy-assisted transoral approach,EATA)与口外入路(external approaches,EAs)2种手术方式在巨大良性咽旁间隙肿瘤(parapharyngeal space tumors,PSTs)切除术中的临床效果。方法:将62例PST患者分为EATA组和EA组,比较2组患者围术期及术后的临床数据,采用SPSS 21.0软件包对数据进行统计学分析。结果:所有肿瘤均完整切除。EATA组中6例患者术中转为口外入路。EA组中8例患者术中采用内镜进行辅助手术。EATA组的术中出血量、引流总量、术后疼痛评分、总住院天数均显著少于EA组(P<0.05),术后面容外形满意度评分显著高于EA组(P<0.05)。结论:采用EATA手术方式切除咽旁间隙良性巨大肿瘤,可以减少手术创伤,获得更好的术后面容外形。然而,2种术式联合应用,可获得更好的手术效果。PURPOSE:This study compared the clinical effects of endoscopy-assisted transoral approach(EATA)and external approaches(EAs)in the treatment of massive benign parapharyngeal space tumor.METHODS:Sixty-two patients with parapharyngeal space tumors(PSTs)were divided into EATA group and EA group.The perioperative and postoperative clinical data was statistically analysed using SPSS 21.0 software package.RESULTS:All tumors were completely removed.Six patients in EATA group switched to an extraoral approach during surgery.Eight patients in EA group underwent endoscopic surgery.The intraoperative blood loss,total drainage,postoperative pain score,and total length of hospital stay in EATA group were significantly less than those in EA group(P<0.05).The postoperative facial appearance satisfaction score was significantly higher in EATA group than that in EA group(P<0.05).CONCLUSIONS:Use of EATA to remove benign large tumors in the parapharyngeal space can reduce surgical trauma and obtain a better postoperative facial appearance.However,a combination of the two procedures can achieve better surgical results.

关 键 词：内镜 咽旁间隙 肿瘤 

分 类 号：R739.8[医药卫生—肿瘤]