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目的探究咽旁间隙肿瘤手术并发症分析及防治措施。方法收集在某院就诊的咽旁间隙肿瘤患者的临床资料,统计患者在术后出现各类并发症的情况,并分析各类并发症产生的原因、提出相应的预防措施。结果 200例患者中术后出现术腔感染3例、神经损伤15例、血管损伤12例、腮腺漏2例;其中,颈颌入路和颞骨加腮腺入路两种手术方式对血管和神经的创伤更大,所引起的并发症也较多。结论经颈侧切开入路适用于绝大多数的咽旁间隙良性肿瘤,但是为了有效的控制和减少术后并发症的发生,仍需要根据患者具体的病情选择合理的手术入路。
Objective To investigate the surgical complications of parapharyngeal space tumor and its prevention and treatment. Methods The clinical data of patients with parapharyngeal space tumor in a hospital were collected. The patients were followed up for various complications. The causes of various complications were analyzed and the corresponding preventive measures were put forward. Results There were 3 cases of intraoperative cavity infection, 15 cases of nerve injury, 12 cases of vascular injury and 2 cases of parotid gland leakage in 200 cases. Among them, the operation of cervical and jaw combined with parotid gland on the vessels and nerves More trauma, the complications caused by more. Conclusion The transcranial approach is suitable for the vast majority of parapharyngeal benign tumors, but in order to effectively control and reduce the incidence of postoperative complications, we still need to select a reasonable surgical approach according to the specific condition of patients.