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目的 :提高对临床少见的咽旁间隙肿瘤的诊断与治疗水平。方法 :对 5 4例咽旁间隙肿瘤的临床资料进行回顾性分析。结果 :原发性咽旁间隙肿瘤中 ,以外周神经瘤居多 ,约占 5 5 .6 %。全部患者随访 6个月～ 7年 ,术后复发 4例 ,2例为良性肿瘤 ,再次手术治愈 ;2例恶性者分别死于手术后 1年、3年。 2例恶性淋巴瘤患者未手术 ,分别死于化疗后 2年、3.5年。余均治愈。结论 :高分辨CT及MRI对临床诊断及手术径路的选择有重要作用。认为经口径路用于较小的肿瘤切除 ,颈侧径路为安全有效的手术径路。
Objective: To improve the clinical diagnosis and treatment of parapharyngeal space tumor. Methods: The clinical data of 54 parapharyngeal space tumors were retrospectively analyzed. Results: Primary parapharyngeal space tumors, peripheral neuroma mostly, accounting for 55.6%. All patients were followed up for 6 months to 7 years, 4 cases were recurrent, 2 cases were benign and cured again. 2 cases of malignant were died 1 year and 3 years respectively after operation. Two patients with malignant lymphoma had no surgery, died of chemotherapy after 2 years and 3.5 years respectively. I were cured. Conclusion: High-resolution CT and MRI are important for clinical diagnosis and choice of surgical approach. That the use of small diameter calculus for tumor resection, the neck side of the path for the safe and effective surgical approach.