咽旁间隙病变55例的临床诊治分析

Clinical features of parapharygeal space diseases

目的探讨咽旁间隙病变的临床特征、诊断方法及治疗。方法对我院1994年1月—2013年1月收治的55例咽旁间隙病变患者临床资料进行回顾性分析。结果本组病例咽旁间隙感染14例、原发性肿瘤32例(良性24例、恶性8例)、其他部位肿瘤累及咽旁间隙5例、异物4例;46例行手术治疗,7例行单纯放化疗,2例抗感染药物治疗。结论咽旁间隙病变以原发性良性肿瘤多见,其次为感染、恶性肿瘤,异物少见。

Objective To describe the clinical features of parapharygeal space diseases and assess the methods to the diagnosis and the treatment. Methods . The clinical data of 55 patients with parapharyngeal space diseases treated from 1994 to 2013 in our hos- pital were retrospectively studied. Results Among the 55 patients, 14 suffered from infectious diseases and 32 from primary tumors （including benign lesions in 24 cases and malignant tumors in 8 cases）. Furthermore, there were 5 patients with metastatic tumors and 4 ones with parapharyngeal space foreign bodies. The diseases were treated with surgery＂ in 46 cases, with radiochemo- therapy in 7 cases and with anti-infection in 2 cases. Conclusion Primary benign tumors are the most common in parapharygeal space diseases, next to it are infectious diseases and malignant tumors, and foreign bodies are infrequent.