颞部—颌下联合进路切除咽旁颞下区巨大肿瘤(附2例报道)  

Transtemporal and Transsubmaxillary Combined Approaches for Removal of Huge Tumors in Parapharyngeal infratemporal Area (2 Cases)

作　　者：邱前辉[1] 李添应[2] 陈少华[1] 苏志文[1] 

机构地区：[1]广东省人民医院耳鼻咽喉科,广东广州510080 [2]中山大学附属第一医院耳鼻咽喉科,广东广州510080

出　　处：《中山大学学报（医学科学版）》2004年第2期184-186,共3页Journal of Sun Yat-Sen University:Medical Sciences

基　　金：广东省科委重点攻关基金资助(99N04901J)

摘　　要：【目的】探讨切除侵犯中颅窝的咽旁颞下区巨大肿瘤安全而彻底的手术进路。利用颞部切口可充分暴露中颅窝底和颞下窝以及颌下进路显露咽旁区解剖的特点,联合进路切除2例咽旁颞下区巨大肿瘤。2例侵犯中颅窝底的咽旁颞下区肿瘤顺利切除,患者术中组织损伤、出血量相对较少,术后无严重并发症。【结论】颞部-颌下联合进路适合于侵犯中颅窝底的咽旁颞下区肿瘤的手术切除。To explore a safe and comprehensive approach to remove huge tumors in parapharyngeal infratemporal area invading middle skull base. Since the incisions of transtemporal region and transsubmaxillary region could fully expose middle skull base with infratemporal region and parapharyngeal region, 2 huge tumors in parapharyngeal infratemporal area were removed by the combined approach. Huge tumors in parapharyngeal infratemporal area invading middle skull base were removed successfully in these two cases with less injury and small amount of bleeding. No serious complications after operation were found. [Conclusion]Transtemporal and transsubmaxillary region combined approach is suitable for removal of the tumors in parapharyngeal infratemporal area invading middle skull base.

关 键 词：肿瘤切除术 咽旁颞下区 颅底肿瘤 手术进路 影像学检查 

分 类 号：R739.41[医药卫生—肿瘤] R730.56[医药卫生—临床医学]