摘要
本文对我院收治的89例咽旁肿瘤作了回顾分析。术前32例病人作了针吸活检，50例作了CT检查；全部病人均行手术治疗，大多数病人经腮腺和经颈部入路手术。结果在32例针吸活检病人中27例诊断正确，50例CT检查中36例可准确判断肿瘤的位置，组织学见良性肿瘤72例（81％），恶性肿瘤17例（19％），咽旁肿瘤中以混合瘤最为多见，共37例（42％）；术后良性肿瘤复发10例（14％），恶性肿瘤12例（74％）。结果显示针吸活检和CT对咽旁肿瘤的术前诊断和评估十分必要和关键，经腮腺入路和经颈部入路是最常用的手术进路，咽旁肿瘤的术后复发率高。
The purpose of this study was to evaluate our experience with the diagnosis and management of tumors of parapharyngeal space (PPS). We report the results of a retrospective review of 89 patients with primaryPPS tumors treated surgically from 1986 to 1996 at our hospital.Methods: Initially, 89 patients (39 male and 50 female) were found to have PPS tumors. Before surgical operation32 patients had fine needle aspiration, 50 patients had CT imaging. All patients were treated surgically, thetransparotid and transcervical approach were most widely used.Results: Fine needle aspiration was accurate in the diagnosis in 27 of the 32 patients, 36 of the 50 CT imaging wereable to identify the position of the tumors. Histopathologic analysis found that 72 cases (81%) were benign and 17(19%) were malignant. Pleomorphic adenoma was the most common tumor. Recurrence was recorded in 10 of benign tumors, 12 in malignant.Conclusions: Fine needle aspiration and CT imaging are essential and critical for the preoperative assess and diagnosis. Transparotid and transcervical approach are most widely used. Recurrence rate is high for PPS tumors.
出处
《口腔颌面外科杂志》
CAS
1998年第3期170-172,共3页
Journal of Oral and Maxillofacial Surgery
