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目的探讨咽旁间隙肿瘤的手术治疗方法。方法回顾分析了手术治疗的 45例咽旁间隙肿瘤的临床诊断和手术入路选择。结果原发性咽旁间隙肿瘤中 ,腺组织来源者最多 ,占 5 1.1% (2 3 /4 5 ) ,神经组织来源次之 ,占 2 6.7% (12 /4 5 ) ;恶性肿瘤少见 ,占 13 .3 %(6/4 5 )。CT及 MRI检查对临床诊断和手术入路选择有重要价值。结论咽旁间隙虽然解剖关系复杂 ,通过选择合适的入路仍可安全完整切除。最常用的手术入路是颈侧入路
Objective To explore the surgical treatment of parapharyngeal space tumor. Methods A retrospective analysis of surgical treatment of 45 cases of parapharyngeal space tumor clinical diagnosis and surgical options. Results Among the primary parapharyngeal space tumors, the most common source of glandular tissue was 51.1% (23/45), the second was the source of nerve tissue (22.6%, 12/45). Malignant tumors were rare 13.3% (6/4 5). CT and MRI examination of clinical diagnosis and surgical options have important value. Conclusion Although the anatomic relationship of the parapharyngeal space is complex, it can be safely and completely resected by selecting the appropriate approach. The most common surgical approach is the neck approach