摘要
咽旁隙肿瘤由于解剖部位深在和毗邻关系复杂，手术切除是对耳鼻咽喉──头颈外科医生的一大挑战。文章报告我们1978年1月～1998年1月收治的67例咽旁隙肿瘤的诊治情况。67例咽旁隙肿瘤中，男38例，女29例，年龄5～82岁。本组病人均行手术治疗，手术采用经颈颌切开和经口咽软腭切开摘除肿瘤。结果表明良性肿瘤占70．15％（47／67），恶性肿瘤占29．85％（20／67），良性肿瘤最常见是混合瘤，其次是神经源性肿瘤（19．4％）；恶性肿瘤以淋巴结转移癌为最多（9／67，13．4％）。文章结合我们的经验，讨论了咽旁隙的解剖、肿瘤的病理分类、咽旁隙肿瘤的手术方法和有关注意事项。
Background Parapharyngeal space neoplasms present a formidable challenge to the Otolaryngol-Head Neck surgeon with respect to complex anatomic relationships and surgical approach. 67 Patients with parapharyngeal space neoplasms had been treated surglcally from 1978. 1 to 1998. 1 at our hospital. Methods 67 patients (29female and 38 male) were between 5 and 82 years of age, All patients were treated surgically; through the neck below the mandible (transcervical) and the mouth (peroral)were used. Results 47 tumors (70. 15 % ) were benign and 20 (29. 85 % ) were malignant. Pleomorphic adenoma was the most common neoplasm (26. 9% ), followed by neurogenic tumor (19. 4% ), the majority of malignant tumours are in fact parapharyngeal lymph node metastases (13.4%). Conclusion Discussion of the anatomy of Parapharyngeal space, pathological classification of the tumors, surgical technique and operative entrance is based on operative experience gained from these 67 patients.
出处
《中国中西医结合耳鼻咽喉科杂志》
1999年第2期65-67,共3页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
关键词
咽肿瘤
诊断
外科手术
Pharyngeal Neoplasms Diagnosis Operation
