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目的 :总结临床经验以提高对神经鞘瘤的诊断治疗水平。方法 :对我院经治的 160例患者的诊治情况作回顾性研究。结果 :颌面部神经鞘瘤多见于青壮年 ,易累及颈动脉三角段交感神经干及迷走神经 ,确诊有赖于病理诊断。交感神经干及迷走神经易受损伤 ,完整摘除预后良好。结论 :宜在尽可能保留周围神经束枝的情况下钝性剥出肿瘤 ,对来源于迷走神经或位于颈动脉窦周围的神经鞘瘤 ,应在局部浸润麻醉下施术 ,以免术中产生严重并发症
Purpose: To summarize clinical experience to improve the diagnosis and treatment of schwannomas. Methods: A retrospective study was conducted on the diagnosis and treatment of 160 patients treated in our hospital. RESULTS: Maxillofacial schwannoma is more common in young adults and is easily involved in the sympathetic trunk and vagus nerve in the carotid triangle. The diagnosis depends on pathological diagnosis. The sympathetic trunk and vagus nerve are easily damaged, and the complete removal of the vagus nerve has a good prognosis. Conclusion: It is advisable to blunt the tumor while keeping the branches of the peripheral nerves as much as possible. The schwannomas originating from the vagus nerve or located around the carotid sinus should be treated under local infiltration and anesthesia to avoid serious concurrence during operation. disease