摘要
目的探讨茎突异常与咽部异常感觉的关系及手术疗效。方法对104例茎突异常的患者进行了茎突截短手术,回顾性分析手术前后的临床资料。结果 104例引起咽部异物感、咽痛等感觉的茎突异常,经手术治疗后74例(71.2%)的患者症状消失,13例(12.5%)的患者症状减轻,无效的患者17例(16.3%),有效率为83.7%(87/104)。X 线检查显示茎突舌骨韧带骨化的5例症状消失,而茎突骨不连的8例中6例症状消失,2例无效。颈外进路手术时1例钳夹止血时误钳面神经,造成面神经麻痹,经过4个月保守治疗痊愈;1例发生手术时出血,止血不成功而行颈外动脉结扎术。口内进路手术的患者,1例手术后5h 发生创面出血,重新行创面缝扎止血。结论茎突异常并不全部引起咽部异常感觉,对于茎突异常和咽部异常感觉的患者应该仔细检查,综合分析。如需手术治疗应提倡口内进路,注意防止并发症。
Objective To analyze the relationship between phryngeal paraesthesia and abnormal styloid process, and to evaluate the surgery outcome. Methods One hundred and four patients with styloid process abnormality, especially those with pharyngeal paraesthesia were studied preoperatively and postoperatively. Results Among 104 patients who complained about foreign body sensation of the pharynx and a sore throat, after partial removal of styloid process, 71.2% （74/104） cured （symptoms disappeared）, 12. 5% （13/104）improved , while 16. 3% （17/104） had no improvement. The responding rate was 83.7% （87/104）. Conclusions Not all abnormality of styloid process subjects would have pharyngeal paraesthesia, so for this kind of cases a more comprehensive analysis is necessary. Surgery via mouth is preferable.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2006年第10期759-762,共4页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
关键词
咽疾病
感觉异常
耳鼻喉外科手术
茎突
Pharynx disease
Paraesthesia
Otorhinolaryngologic surgical procedures
Styloid process
