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咽旁间隙肿瘤临床上较少见,多为良性肿瘤.由于其解剖结构的特殊性及邻近组织的复杂性,对该病的诊断及治疗造成一定的困难.我院自1985年~1995年共收治其患者18例,现报告分析如下:1 临床资料1.1 性别和年龄 本文18例中男性7例,占36.9%;女性11例,占61.1%.年龄:11岁~55岁,平均36.7岁.1.2 临床表现 咽部异物感,自我对镜发现咽部肿块者8例,占44.4%;发现颈部无痛性肿块者8例,占44.4%;2种症状兼有者2例,占11.1%.另外有些患者伴有吞咽困难、言语含糊不清、耳鸣、听力减退、头痛症状等.病史最长者5年,最短6月.检查发现咽侧肿块致扁桃体或腭部内移,局部粘膜光滑;颈部包块边界不清,活动度差;其中2例肿块表面可触及颈动脉搏动,左右移动、上下移动差,听诊可闻及连续性吹风样杂音.全部病例都经CT扫描,大多
Parapharyngeal space tumor is relatively rare, mostly benign. Due to its anatomical structure and the complexity of adjacent tissues, the diagnosis and treatment of the disease caused some difficulties in our hospital from 1985 to 1995 18 cases were admitted to their patients, the report is analyzed as follows: 1 Clinical data 1.1 Sex and age 18 cases of male in this case, accounting for 36.9%; 11 cases of women, accounting for 61.1% .Age: 11 years old to 55 years old, average 36.7 years. 1.2 clinical manifestations of foreign body pharynx, self-mirror found pharyngeal mass in 8 cases, accounting for 44.4%; found no pain in the neck in 8 cases, accounting for 44.4%; two kinds of symptoms in both 2 cases, accounting for 11.1% In addition, some patients with dysphagia, vague speech, tinnitus, hearing loss, headache symptoms, etc. The longest history of 5 years, the shortest in June .Check the side of the pharyngeal mass caused by tonsil or palatal migration, the local mucosal smooth; The neck mass of the neck was unclear and the activity was poor. Among the two masses, the surface of the mass had palpable carotid artery pulsation, left and right movement, poor up and down movement, auscultation and continuous hair-like noise. All cases were scanned by CT,