头颈部神经鞘瘤33例临床分析

Clinical analysis of 33 cases of neurilemmomas of the head and neck

目的：探讨头颈部神经鞘瘤的诊断和治疗。方法：回顾性分析1980-2004年收治的33例头颈部神经鞘瘤的临床资料。结果：全部患者均行手术治疗，术后经病理学检查确诊良性32例，恶性1例。术后30例患者获随访，其中27例治愈，1例恶性肿瘤患者死于复发，2例死于其他疾病；3例失访。结论：手术彻底切除肿瘤是治疗该病最有效的方法，手术尽可能保留来源神经的完整性。该病预后良好，对恶变者应行扩大切除。

Objective：To investigate the diagnosis and treatment of neurinoma of the head and neck. Method： The clinical data of 33 patients with neurinoma of the head and neck, from 1980 to 2004, were retrospectively reviewed and analysed. Result： The tumors of all the cases were totally resected. Thirty of thirty-thrce cases have been followed up. Twenty-seven cases were fully recovered without any serious complication. One case with malignant tumor were died. The other 2 cases were died of other diseases. Conclusion：Tumor resection is still the most effective treatment available for patients with neurilemmomas of the head and neck, Resection of tumor should be performed as soon as possible with careful protection of the function of the nerve. Extensive resection should be performed to treat malignant tumors.