颈部肿块305例病因分析

Etiological Analysis of Cervical Mass in 305 Cases

颈部肿块是耳鼻喉科常见症状，并与很多科有密切关系，其病因复杂，为寻找病因及诊治规律，文章报告经手术后作病理切片证实的颈部肿块３０５例．结果显示，本组病例由３５种疾病构成，其中肿瘤２３３例，占颈部肿块的７６％，良性肿瘤１５１例，占肿瘤的６４．８％．颈部转移性恶性肿瘤５５例，其中鼻咽癌颈部转移４２例，占７６％．结核性颈部肿块占颈部炎性肿块的５６．６％．这些结果将有助于对颈部肿块的诊治．

Common in ENT and complex in etiology, cervical mass has a close tie with many other medical fields. To find out the cause of the disease and the pattern of diagnosis and treatment, our report was made about 305 cases of cervical mass proved by the pathological examination after operation. In result, 35 types of diseases were involved in this case group, in which there were 233 cases of carcinoma, accounting for 76% of the cervical mass, and there were 151 cases of benignant tumor, accounting for 64 8% of the carcinoma. There were 55 cases of metastatic malignant tumor, 42 (76%) of which metastasized to the nasopharyngeal part. Tuberculous cervical mass occupied 56 6% of the inflammatory cervical mass. All this will be benefit to the diagnosis and treatment of cervical mass.