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目的探讨茎突异常与咽部异常感觉的关系及手术疗效。方法对104例茎突异常的患者进行了茎突截短手术,回顾性分析手术前后的临床资料。结果 104例引起咽部异物感、咽痛等感觉的茎突异常,经手术治疗后74例(71.2%)的患者症状消失,13例(12.5%)的患者症状减轻,无效的患者17例(16.3%),有效率为83.7%(87/104)。X 线检查显示茎突舌骨韧带骨化的5例症状消失,而茎突骨不连的8例中6例症状消失,2例无效。颈外进路手术时1例钳夹止血时误钳面神经,造成面神经麻痹,经过4个月保守治疗痊愈;1例发生手术时出血,止血不成功而行颈外动脉结扎术。口内进路手术的患者,1例手术后5h 发生创面出血,重新行创面缝扎止血。结论茎突异常并不全部引起咽部异常感觉,对于茎突异常和咽部异常感觉的患者应该仔细检查,综合分析。如需手术治疗应提倡口内进路,注意防止并发症。
Objective To investigate the relationship between abnormalities of the styloid process and the abnormal sensation of pharynx and its curative effect. Methods A total of 104 patients with styloid process abnormalities were treated by truncal shortening. The clinical data before and after the operation were retrospectively analyzed. Results A total of 104 cases had sensations of pharyngeal foreign body sensation and sore throat, and 74 cases (71.2%) had symptoms disappeared after operation. Thirteen patients (12.5%) were relieved of symptoms and 17 cases were ineffective 16.3%), the effective rate was 83.7% (87/104). X-ray examination showed that 5 cases of styloid ligament ossification disappeared, while 6 cases of symptom disappeared in 8 cases of styloid process and 2 cases were ineffective. One case of external carotid artery occlusion of intramedullary nocturnal calf nerve, causing paralysis of facial nerve, after 4 months of conservative treatment healed; 1 case of bleeding when surgery, hemostasis unsuccessful carotid artery ligation. Oral surgery in patients, 1 case of wound bleeding occurred 5h after surgery, re-wound wound to stop bleeding. Conclusions Styloid process abnormalities do not all cause abnormal pharyngeal sensation. Patients with abnormal sensations of styloid process and abnormal pharynx should be carefully examined and analyzed comprehensively. For surgical treatment should promote oral approach, pay attention to prevent complications.