咽旁间隙肿瘤手术路径探讨（附46例分析）

山东大学耳鼻喉眼学报

咽旁间隙肿瘤手术路径探讨（附46例分析）

林海，甄泽年，赵敏，袁友文，杨甫文

南京军区福州总医院耳鼻咽喉头颈外科，福建福州 350025

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2006-02-25 发布日期:2006-02-25

Evaluation and operative approaches to tumor in parapharyngeal space:with a report of 46 cases

LIN Hai， ZHEN Zenian， ZHAO Min， YUAN Youwen， YANG Fuwen

Department of Otorhinolaryngology， Fuzhou General Hospital of Nanjing Military Command,Fuzhou 350025， Fujian， China

Received:1900-01-01 Revised:1900-01-01 Online:2006-02-25 Published:2006-02-25

摘要/Abstract

摘要： 目的：探讨咽旁间隙肿瘤切除的最佳手术路径。方法：回顾分析咽旁间隙肿瘤的临床资料及手术路径。46例中，11例经口咽路径，23例经颈侧路径，2例经颈侧腮腺路径，7例经颈－下颌骨正中裂开外旋路径，3例经颞下窝路径切除肿瘤。结果：43例完整切除肿瘤，3例大部切除。2例术中并发面神经损伤致不完全性周围性面瘫； 2例术后出现Horner′s综合征，均于术后半月内恢复；1例术中发生大出血；术后复发3例， 1例为经口咽路径切除的良性肿瘤，2例为恶性肿瘤。术后随访3～5年， 2例死亡，余均健在。结论：手术切除咽旁间隙肿瘤应根据位置的不同正确选择手术路径，充分暴露术野，辨清解剖标志。

关键词: 头颈部肿瘤, 外科手术, 手术路径

Abstract: Objective: To explore the best surgical approach for parapharyngeal space tumors. Methods: The clinical data of 46 patients with parapharyngeal space tumors were restrospectively analyzed. Tumors were resected through intraoral and pharynx approach in 11 patients, transcervical approach in 23， transparotid approach in 2， transcervicaltransmandibular approach in 7， and infratemporal approach in 3. Results: Tumor was completely and partially resected in 43 and 3 patients, respectively. Facial nerves were injured inducing inadequate peripheral paralysis during operation in 2 patients, Horner′s syndrome was found in 2 after operation, and massive haemorrhage happened in 1 during operation. During a followup of 3 to 5 years, 2 patients died， and others were still living and in good health. Conclusion: Different surgical approaches　should be adopted according to the site of the tumor so as to resect the parapharyngeal space tumors totally and safely.

Key words: Surgical procedures, operative, Head and neck neoplasms, Surgical approach

林海,甄泽年,赵敏,袁友文,杨甫文 . 咽旁间隙肿瘤手术路径探讨（附46例分析）[J]. 山东大学耳鼻喉眼学报, 2006, 20(1): 63-64 .

LIN Hai,ZHEN Zenian,ZHAO Min,YUAN Youwen,YANG Fuwen . Evaluation and operative approaches to tumor in parapharyngeal space:with a report of 46 cases[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2006, 20(1): 63-64 .

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