【作者】 赵铭； 刘善廷； 齐金星；

【Author】 Zhao Ming Liu Shan-Ting QI Jin-Xing Department of head and neck, Henan Tumor Hospital, Zhengzhou 450003, China

【机构】 河南省肿瘤医院头颈外科；

【摘要】 目的:探讨对咽旁间隙肿瘤的诊断与手术入路的选择。方法:对1984—2004年本院82例咽旁间隙肿瘤的临床资料进行回顾性分析。结果:本组良恶性肿瘤分别占87．80％ (72／82),12．20％(10／82)。以神经源性(50％,41／82)及涎腺肿瘤(26．83％,22／82)最常见。手术采用口内径路8例, 颈侧径路6l例,颈颌径路9例,颈腮腺径路4例。结论:颈部彩超及CT是诊断、鉴别诊断的良好手段,颈侧径路则是最常用而安全的入路方式。更多还原

【Abstract】 Objective: To explore the diagnosis and surgical treatment of parapharyngeal space neoplasms. Methods: 82 cases of parapharyngeal space neoplasms in Henan Tumor Hospital from 1984 to 2004 were reviewed and analyzed. Results: 87.80% (72/82) of the tumors were benign, and 12.20% (10/82) were malignant. The common types were neurogenic (50%, 41/82) and parotid (26.83%, 22/82). Trans-oral approach was used in 8 cases, trans-cervical approach in 61 cases, trans-cervical and trans-jaw approach in 9 cases, and trans-parotid approach was used in 4 cases. Conclusion: Ultrasound and CT is appropriate to diagnose parapharyngeal space neoplasms, and trans-cervical approach is safe and most commonly used.更多还原