颈部神经鞘瘤22例临床分析

22 cases of neck schwannoma

目的探讨颈部神经鞘瘤的临床特征及治疗方法。方法22例颈部神经鞘瘤全部行手术切除，术前均行B超及MRI检查，术后常规病理检查。结果手术前后B超诊断符合率为63．6％（14／22），MRI诊断符合率为90．9％（20／22），22例术后随访6个月～10年，20例无复发，1例1年内复发，1例3年后复发。1例术后出现声音嘶哑，3个月后消失；1例术后出现同侧上肢疼痛、乏力，1年后缓解。结论影像学检查对颈部神经鞘瘤的鉴别诊断有重要的参考意义，确诊后，手术切除是唯一有效的治疗方法，术中应注意保护神经的完整性，避免出现神经功能并发症。

Objective To investigate the clinical features and treatment of neck schwannoma. Methods Twenty-two cases of neck schwannoma were surgically treated. All cases underwent ultrasound and MRI scan before operation. Results The ultrasound diagnostic coincidence rate was 63.6%（14/22）; the MRI diagnostic coincidence rate was 90.9% （20/22）. The twenty-two cases were followed up 6 months to 10 years. No recurrence was found in 20 cases; one case recurred within 1 year and one after 3 year. One case developed hoarseness after operation and the symptom disappeared after 3 months. One case developed upper limb pain and weak and relieved after 1 year. Conclusion Imageological examination is very important in antidiastole for neck schwannoma. The tumor should be resected as soon as possible once the diagnosis is confirmed. In order to avoid complications, nervous function should be protected during operation.