摘要
目的:探讨咽旁颞下区肿瘤的临床资料进行回顾性分析,进一步指导临床工作。方法:本组患者53例,男30例,女23例,年龄23～67岁,中位年龄46岁。术前先行CT、MRI,必要时行血管造影综合判断肿瘤的位置、大小、范围及性质,指导手术入路。手术首先采用颈侧入路切除肿瘤侵及咽旁颞下区部分,必要时可延长为耳后c形切口或颈腮腺入路,恶性肿瘤同时纵形延长颈清扫术。结果:全部患者随访6个月～9年,复发5例,3例为良性肿瘤,再次手术治愈。2例恶性者分别死于术后3年、1年6个月,余均治愈。其中,并发声嘶3例,伸舌偏斜2例,Homer综合征5例,脑脊液漏1例。结论:术前影像学评估对咽旁肿瘤的诊断和手术入路的选择具有重要意义。
Objective： A retrospeltive review about the tumor primary from parapharyngeal space and subtemporal area to instruct Clinical process. Methods： There are 53 cases inall, 30male 23femal. aging from 23 to 67 years, the mid ageis 46years . CTorMRI before surger （angiography if necessary ） Can determine the IoLation, size, area, and qualitg of the tumor ,and operation approach. In the operation process, We choose the lateral site of cervical as the opration approach. to dissect the tumor in parapharyngeal spale and subtemporal area . we can also prolong the incision to past aurem shaped like＂ C ＂if necessarg , sometimes the incisiones Located in Saliary gland.Resuits：The follow -up time is from 6months to 9 years, 5coses relapse, 3 of which are benign, the second surgery process cure them. The other two are malignant, one died in 18month and another died in 3 years after. The left 48cases ard cured. 11 cases have Complications： horseness,3eases tongue extension divergence, 2cases： Horner Syndrom 3cases, urebrospinal rhinorrhea lcase. Conclusion： Lmagiology evaluation before sugcry have great effects on diagnosis and operation approach to tumor primarg.
出处
《河南医学研究》
CAS
2008年第3期218-220,共3页
Henan Medical Research
关键词
咽旁肿瘤
外科手术
诊断
tumor paraphargngedl space subtemporal area
surgerg
diagnosis
