头颈部神经鞘瘤22例临床分析

Clinical analysis on 22 cases of head and neck neurolemmoma

目的 探讨头颈部神经鞘瘤的临床特征，提高其诊疗水平。方法 回顾分析1994—2005年收治的22例头颈部神经鞘瘤患者的临床资料。结果 男15例，女7例，年龄2～75岁。肿瘤原发部位：舌部5例，颈部10例，面部3例，腮腺4例。全部病例行均手术切除肿瘤。术后病理确诊良性22例。经随访，复发2例，再次手术治愈。结论 神经鞘瘤多为单发，术前诊断困难，确诊有赖于术后病理。肿瘤包膜完整，易于完整摘除，手术为有效的治疗方法，术中应尽量保留神经的完整性。

Objective To improve the diagnosis and treatment of neurolemmoma in head and neck by exploring its clinical features. Methods Twenty - two cases of neurolemmoma were reviewed retrospectively from1994 to 2005. Results Fifteen cases were male and 7 cases were female . The age was 2 -75 years old. The primary positions of neurolemmoma were tongue （5 cases）, neck （ 10 cases ）, face （ 3 cases ）, parotid （4 cases）. All patients were cured by surgical treatment. The correct diagnosis relyed on pathological slice after operation. Twenty - two cases were all benign. Two cases were recurrent during the following - up observation and no recurrence occured after second operation. Conclusion Single tumor was the most common in neurolemmoma. It is difficult pre-operation. ColTect diagnosis rely on clinical pathology. Surgical procedure is the effective way for neurolernmoma. Because of the intact membrane, it is easy for extirpation. During operation, we should protect the nerve at best.