不同径路治疗咽旁隙神经源性肿瘤疗效比较  

Comparison of the therapeutic effects of different approaches on neurogenic tumors of parapharyngeal space

作　　者：刘诗娴 韩跃锋 谢宗玉[2] 王晓敏[1] 李慧[1] 马士崟[1] LIU Shi-xian;HAN Yue-feng;XIE Zong-yu;WANG Xiao-min;LI Hui;MA Shi-yin(Department of Otolaryngology,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004,China;Department of Imaging,The First Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233004,China)

机构地区：[1]蚌埠医学院第一附属医院耳鼻喉科,安徽蚌埠233004 [2]蚌埠医学院第一附属医院影像科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2020年第11期1474-1477,共4页Journal of Bengbu Medical College

基　　金：安徽省自然科学基金项目(1608085MH236)。

摘　　要：目的:探讨不同径路治疗咽旁隙神经源性肿瘤疗效比较。方法:收集影像科和耳鼻咽喉头颈外科诊断并手术的咽旁隙神经源性肿瘤病人21例,并根据肿瘤影像学特点对其性质进行判断,比较经口径路与经颈径路术后病人术中出血、术后疼痛和并发症等情况。结果:经口径路与经颈径路病人术中出血和术后疼痛情况差异均有统计学意义(P<0.01),而并发症发生情况差异无统计学意义(P>0.05)。结论:影像学对咽旁隙神经源性肿瘤的诊断、鉴别诊断及手术入路的选择具有临床指导价值,经口径路在减少术中出血、减轻术后疼痛方面较经颈径路有优势。Objective:To compare the efficacy of different approaches in the treatment of neurogenic tumors of parapharyngeal space.Methods:Twenty-one neurogenic tumors of parapharyngeal space patients diagnosed by department of imaging and department of otolaryngology head and neck,and treated with operation were investigated,and the nature of tumors were determined according to its imaging characteristics.The intraoperative bleeding,postoperative pain and complications were compared between transoral approach and transoral approach.Results:The differences of the intraoperative bleeding and postoperative pain between transoral approach and transcervical approach were statistically significant(P<0.05),and there was no statistical significance in the complications between the two approaches(P>0.05).Conclusions:Imaging has clinical guiding value in the diagnosis,differential diagnosis and surgical approach selection of neurogenic tumors in parapharyngeal space.transoral approach has advantages over transcervical approach in reducing intraoperative bleeding and postoperative pain.

关 键 词：咽旁隙肿瘤 经口径路 经颈径路 

分 类 号：R739.63[医药卫生—肿瘤]