茎突综合征30例手术治疗临床分析

doi:10.6040/j.issn.1673-3770.0.2014.193

摘要/Abstract

摘要： 目的探讨茎突综合征不同手术治疗方法的优势.方法对30例茎突综合征采用不同的手术方法,其中20例扁桃体窝触诊可扪及硬性隆起者,采用切除扁桃体口内径路切除;3例舌腭弓触诊可扪及硬性隆起者,采用保留扁桃体口内径路切除术;7例咽部触诊未触及硬性隆起者,采用颈外径路切除术.结果术后随访半年,26例咽部异物感、咽部疼痛感、耳痛、颈部下颌角部位疼痛症状消失,4例症状较术前明显减轻但未消失,无1例发生咽旁间隙感染、咽旁血肿及面神经麻痹等并发症.结论手术截短是目前治疗茎突综合征的主要手段,临床工作中要根据茎突的长度、角度,咽部暴露情况等选择不同的手术径路,以达到最好的治疗效果.

关键词: 茎突综合征, 外科手术, 治疗结果

Abstract: Objective To explore the advantages of different methods of surgical treatment of styloid process syndrome. Methods In 30 patients with styloid process syndrome, 20 patients whose tonsillar fossa could be touched hard prominence underwent intra-oral approach surgeries with tonsillectomy; 3 patients whose palatine arches could be touched hard prominence underwent intra-oral approach surgeries; 7 patients with no hard prominence underwent cervical approach partial removal of styloid process surgeries. Results After the operations, 26 cases had no symptoms of foreign bodies in the pharynx, pharyngeal pain, ear pain and pain in submanandibular angle, 4 cases of pre-operative symptoms had significantly relieved. There was no occurrence of complication. Conclusion Surgery of partial removal of styloid is currently the main treatment for styloid process syndrome. It should be carried out depending on length and angle of the styloid process, and the manifestation in pharyngea to achieve the best therapeutic effect.

Key words: Styloid process syndrome, Surgical procedures, operative, Treatment outcome

中图分类号:

R766

王永福, 徐永向, 于军, 宇雅平, 陈晓华. 茎突综合征30例手术治疗临床分析[J]. 山东大学耳鼻喉眼学报, 2014, 28(6): 9-10.

WANG Yong-fu, XU Yong-xiang, YU Jun, YU Ya-ping, CHEN Xiao-hua. Surgical treatment for styloid precess syndrome[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 9-10.

参考文献

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[4] 张庆泉,宋西成,王强,等.外科治疗茎突异常的疗效分析[J]. 中华耳鼻咽喉头颈外科杂志,2006,41(10):759-762. ZHANG Qingquan, SONG Xicheng, WANG Qiang, et al. Effect analysis of surgical for treating abnorma styloid process[J]. Chin J Otorhinolaryngol Head Neck Surg, 2006, 41(10):759-762.
[5] 朱宇宏,赵利敏.茎突截短术的并发症[J].山东大学耳鼻喉眼学报,2006,20(2):165-166. ZHU Yuhong, ZHAO Limin. Complications after styloid proces surgery[J]. J Otolaryngol Ophthal Shangdong Uni, 2006, 20(2):165-166.
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