咽旁隙肿瘤手术路径的研究进展

Development of surgical approaches on parapharyngeal space tumor

咽旁隙是头颈部重要的软组织间隙,有许多重要的血管及神经通过,其位置深在,结构复杂,手术暴露困难。咽旁隙肿瘤虽然临床发病率不高,主要以良性肿瘤为主,但其病理类型多样,且生长的部位及方式都有很大不同。在咽旁隙肿瘤手术中,为实现良好暴露,临床开发了多种手术路径,近年来,内镜技术的进步推动了咽旁隙肿瘤手术的发展。为了解临床咽旁隙肿瘤手术的进展,本文对目前咽旁隙肿瘤的手术路径及其发展进行了概括,并在归纳总结多种临床路径后,对一些临床常见咽旁隙肿瘤的手术入路选择提出了建议;同时,对咽旁隙的区域划分和咽旁隙的区域化治疗提出了几点意见。

The parapharyngeal space is an important soft tissue space in the head and neck,through which has many important blood vessels and nerves pass.Its location is deep and its structure is complex,and the surgical exposure is difficult.Although the incidence of parapharyngeal space tumors is not high,mainly benign tumors,their pathological types are diverse.The location and pattern of parapharyngeal space tumor growth are very different.In order to achieve good exposure in parapharyngeal space tumor surgery,a variety of surgical approaches have been clinically developed.In recent years,advances in endoscopic techniques have promoted the development of parapharyngeal space tumor surgery.In order to understand the progress of clinical surgery for parapharyngeal space tumors,this article summarized the current surgical approaches and development of parapharyngeal space tumors.After summing up many kinds of clinical pathways,some suggestions on the surgical approaches for some common parapharyngeal space tumors were put forward.At the same time,some suggestions on the regional division of the parapharyngeal space and the regional treatment of the parapharyngeal space tumors were put forward.