原发性咽周围间隙神经鞘膜瘤的诊断与治疗

Diagnosis and Therapy of Primary Gappharyngeal Space Around Nerve Sheath Tumors

目的探讨原发性咽周围间隙神经鞘膜瘤的诊断与治疗及其疗效。方法总结7例咽周围间隙神经鞘膜瘤的临床资料。分析临床体征和手术方法,采用颈侧径路5例、颈颌径路2例。结果咽旁隙肿瘤5例、咽后隙肿瘤2例,与影像学诊断相符。病理学结果为神经鞘膜瘤,均为良性。无术后大出血或呼吸困难病例,无术后感染或咽瘘病例,全组病例Ⅰ期愈合。经随访1年至3年,无复发病例。结论原发性咽周围间隙神经鞘膜瘤临床罕见,影像学检查是定位定性诊断的基础,颈侧切开或颈颌径路是唯一有效治疗方法。

Objective To investigate the diagnosis, therapy and treatment effect of primary gap pharyngeal space around nerve sheath tumors. Methods 7 cases of clinical data of nerve sheath tumors around pharyngeal were studied. Clinical signs and surgical methods were analyzed, with lateral neck pathway in five cases, cervical jaw pathways in two cases. Results Gap parapharyngeal tumor in five cases, retropharyngeal tumors in two cases, were consistent with the imaging diagnosis. Pathology results for nerve sheath tumors, were benign ,with.no cases of postoperative bleeding or dyspnea, no postoperative infection or pharyngeal fistula patients,while, all patients were I Healing. After follow-up of 1 year to 3 years, there was no recurrence. Conclusions Primary pharyngeal space around nerve Sheath tumors are rare, with clinical imaging diagnosis positioning the foundation base,.and the throat or neck incision jaw pathway is the only effective treatment.