颈侧径路切除咽旁间隙良性肿瘤

Approach for benign parapharyngeal space tumors

目的分析颈侧径路咽旁间隙手术在良性肿瘤切除中的应用。方法回顾总结北京同仁医院2004年7月～2007年7月19例20次咽旁间隙良性肿瘤切除术。结果20次手术均在全麻下颈侧径路完成,无永久并发症发生。所有患者随访6(6～36)个月以上。19例中1例术后1年3个月复发,再次全麻经颈手术切除。结论颈侧径路是咽旁间隙良性肿瘤切除适用的术式,创伤小且效果好,所有良性肿瘤基本可行颈侧径路解决。

OBJECTIVE To study the application of transcervical approach for benign parapharyngeal space tumors.METHODS The clinical data of 19 patients（20 operations） with benign parapharyngeal space tumors were analyzed retrospectively.RESULTS The 19 patients with benign parapharyngeal tumors were operated on in Tongren Hospital from July 2004 to July 2007.All patients were operated on through trans-cervical approach under general anesthesia.They were followed up from 6 to 36 months.Recurrence was found in a girl 15 months after operation,and was reoperated on by the same approach.No complications occurred.CONCLUSION The patients with parapharyngeal space tumors must be carefully studied by CT or/and MRI scan.If a clear tumor capsule is identified,the tumor can be removed through transcervical approach.Transcervical approach is a useful approach with least damage,and nearly all benign tumors of parapharyngeal space can be removed through it.