颈侧咽旁间隙肿瘤104例临床分析

• 作 者: 梁建民 刘晖 王建刚
• 机 构: 西安医科大学附属第二医院耳鼻咽喉科
• 出 处: 耳鼻咽喉头颈外科
• 发表日期: 1998年03期
• 关键词: 咽旁间隙 颈动脉体瘤 神经鞘膜瘤 神经纤维瘤 侧切开 混合瘤 涎腺 颈动脉鞘 联合入路 术后并发症

报告１０４例颈侧及咽旁间隙肿瘤，包括神经鞘膜瘤６７例，神经纤维瘤１２例，涎腺混合瘤１４例，血管瘤６例，颈动脉体瘤４例，猪囊虫病１例，均经病理证实。全部病人均行手术治疗，其中颈侧切开径路８９例，经咽侧径路１１例，经颈侧及咽侧联合入路４例。除２例颈动脉体瘤骑跨于颈动脉分叉处及２例血管瘤与颈动脉鞘粘连未能切除肿瘤外，其余１００例均完整摘除肿瘤。７例发生术后并发症，全部为神经麻痹。

Report 104 cases of neck and parapharyngeal space tumor, including 67 cases of nerve sheath tumor, 12 cases of neurofibroma, 14 cases of mixed salivary gland tumor, 6 cases of hemangioma, 4 cases of carotid body tumor, 1 case of swine cysticercosis , Were confirmed by pathology. All patients underwent surgery, including 89 cases of lateral incision pathways, 11 cases of pathways through the pharynx, and 4 cases of combined approach of the neck and pharynx. In addition to 2 cases of carotid body tumor riding across the bifurcation of the carotid artery and 2 cases of hemangiomas and carotid sheath adhesion failed to remove the tumor, the remaining 100 cases were complete removal of the tumor. Seven patients had postoperative complications, all of which were nerve palsy.