孤立性咽旁间隙肿块的治疗

Treatment of Solitary Masses in Parapharyngeal Space

目的 :探讨 2 1例孤立性咽旁间隙肿块的分类及手术方式的选择。方法 :2 1例中炎性脓肿 8例 ,结核 2例 ,肿瘤 9例 ,先天性疾病 1例 ,外伤后假性动脉瘤 1例 ,视病情不同 ,选择了经颈侧径路、咽侧径路、下颌骨截断术咽侧揭盖术等不同的手术方式。结果 :所有病例手术后 ,脓肿辅以换药和抗生素 ,恶淋辅以化疗均痊愈出院 ,无并发症发生。结论 :孤立性咽旁间隙肿块以手术为主 ,辅以其它治疗 ,可达到较好疗效。

Objective:To explore the category and operative methods of 21 cases solitary masses in parapharyngeal space.Methods:Eight cases of inflammatory abscess,2 cases of tuberculosis,9 cases of tumor,1 case of congenital disease,1 case of posttraumatic pseudoaneurysm were included in the 21 cases.The operative apprach was various route such as lateral neck,parapharyngeal,mandibulectomy,uncovering of pharyngeal wall were performed according to different cases.Results:All cases were healed without complication after postoperative management like change dressing,antibiotic medication for abscess,chemotherapy for malignancy.Conclusion:Good clinical results could be achieved when operation was taken as the main choice and other supporting treatment as accessories for solitaries masses in parapharyngeal space.