不同径路治疗咽旁隙神经源性肿瘤疗效比较

刘诗娴; 韩跃锋; 谢宗玉; 王晓敏; 李慧; 马士崟

doi:10.13898/j.cnki.issn.1000-2200.2020.11.006

不同径路治疗咽旁隙神经源性肿瘤疗效比较

Comparison of the therapeutic effects of different approaches on neurogenic tumors of parapharyngeal space

摘要

摘要:
目的探讨不同径路治疗咽旁隙神经源性肿瘤疗效比较。
方法收集影像科和耳鼻咽喉头颈外科诊断并手术的咽旁隙神经源性肿瘤病人21例，并根据肿瘤影像学特点对其性质进行判断，比较经口径路与经颈径路术后病人术中出血、术后疼痛和并发症等情况。
结果经口径路与经颈径路病人术中出血和术后疼痛情况差异均有统计学意义（P < 0.01），而并发症发生情况差异无统计学意义（P>0.05）。
结论影像学对咽旁隙神经源性肿瘤的诊断、鉴别诊断及手术入路的选择具有临床指导价值，经口径路在减少术中出血、减轻术后疼痛方面较经颈径路有优势。

Abstract:
ObjectiveTo compare the efficacy of different approaches in the treatment of neurogenic tumors of parapharyngeal space.
MethodsTwenty-one neurogenic tumors of parapharyngeal space patients diagnosed by department of imaging and department of otolaryngology head and neck, and treated with operation were investigated, and the nature of tumors were determined according to its imaging characteristics.The intraoperative bleeding, postoperative pain and complications were compared between transoral approach and transoral approach.
ResultsThe differences of the intraoperative bleeding and postoperative pain between transoral approach and transcervical approach were statistically significant(P < 0.05), and there was no statistical significance in the complications between the two approaches(P>0.05).
ConclusionsImaging has clinical guiding value in the diagnosis, differential diagnosis and surgical approach selection of neurogenic tumors in parapharyngeal space.transoral approach has advantages over transcervical approach in reducing intraoperative bleeding and postoperative pain.

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