熊新高 杨成章 汪广平 刘邦华 (同济医科大学附属协和医院耳鼻咽喉科 武汉，430022) 临床耳鼻咽喉科杂志 2000 0 14 2


    关键词：头颈部肿瘤；咽旁间隙；诊断显像 期刊 lcebyhkzz 0 临床研究 fur -->


    

摘 要 ：目的 ：提高对临床少见的咽旁间隙肿瘤的诊断与治疗水平。方法 ：对收治的48例咽旁间隙肿瘤的临床资料进行回顾性分析。结果 ：全部患者随访6个月～9年，复发4例，2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3个月。余均治愈。其中，并发声嘶3例，呛咳3例，伸舌偏斜1例，Horner综合征4例。结论 ：原发性咽旁间隙肿瘤中，以神经源性肿瘤居多。CT、MRI对肿块的大小、形态、位置、周围的关系及继发改变能清晰显示；DSA对肿瘤血管显示清晰。颈侧径路为主要的手术径路。

Parapharyngeal space neoplasms

XIONG Xin-gao YANG Cheng-zhang WANG Guang-ping LIU Bang -hua

    (Department of Otolaryngology,Union Hospital of Tongji Medi cal University,Wuhan 430022)

Abstract ：Objective ：Toexplore the diagnose and management of parapharyngeal space (PPS) neoplasms.Method ：Recordsof 48 patients with PPS neoplasms operated from 1988 to 1998 were reviewed.Result ：Neurogenictumors were the most common neo plasma in primary PPS neoplasms.CT and MRI could provideclinically informations such as their size,shape,extent and site.Tumor vessels could beclearly seen by carotid arteriography.The majority of PPS tumors were resected by atranscervic al approach.Conclusion ：CT and/or MRI are essential for diagnose and presurgical planing,Arteriography can be used only when CT or MRis uggest aglomous tumor,or possible involvement of carotid artery,or when those t urmors put thecarotid artery at a risk for surgical injury.Transoral approach m ay be used for smalltumors and transparotid approach may be especially indicate d for removing deep lobeparotid tumors with extention to the PPS. When there is a significant risk for injury theinternal carotid artery radiological evidence are are necessary for infratemporalapproach.

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