摘要
目的探讨腮腺内面神经鞘瘤的临床特点、诊断及治疗要点，最大程度保留面神经连续性。方法回顾分析中国医科大学附属口腔医院2005-2011年收治的21例腮腺内面神经鞘瘤患者的临床特点、影像学表现、诊断及治疗。结果21例患者中术前行影像学检查共18例，确诊为神经鞘瘤者仅1例。21例患者均行手术切除肿瘤并经病理明确诊断，其中18例患者瘤体完整切除，3例患者瘤体部分切除。共19例患者术后随访，随访期为1～5年，所有随访病例未发现肿瘤复发。结论腮腺内面神经鞘瘤早期诊断较困难，影像学检查虽有辅助价值，但确诊仍有赖于病理诊断，该病以手术治疗为主，术中应尽量保护面神经，避免并发症的发生。
Objective To investigate the clinlical features,diagnosis and treatment of facial nerve schwannoma in parotid region inor der to keep the continuity of facial nerve. Methods Clinical data of the 21 patients with facial nerve schwannoma in parotid region from 2005 to 2011 in our hospital were studied retrospectively. Clinical data included clinical features,imaging findings, diagnosis and treatment. Results There were 18 cases that had taken image examination among the 21 cases before operation,however,only lcase was diagnosed correctly preoperatively. The tumors in all 21 cases were reseeted surgically and dignosed pathologically definitely, tumors of 18 cases were totally removed,while the other 3 were subtotally removed. In these cases, 19 patients were followed up for 1 to 5 years,and there was no recurrence of tumors. Conclusions Facial nerve schwannoma in parotid region is likely to be misdiagnosed in the early phrase. There is no preoperative diagnostic modality that can identify facial nerve sehwannoma with certainty. Alothough im aging examination is helpful, the correct diagnosis of the disease depends on pathological examination. Surgical management is the major treatment of the disease. Resection of the tumor should be performed under careful protection of the function of the facial nerves in or der to avoid complications postoperatively.
出处
《口腔医学》
CAS
2014年第1期28-30,共3页
Stomatology
关键词
腮腺
面神经
神经鞘瘤
面神经麻痹
parotid gland
facial nerve
neurilemmoma
facial paralysis
