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目的：总结诊治咽旁间隙肿瘤的经验。方法：回顾分析咽旁间隙肿瘤８９例。术前为３２例患者行针吸活检术，５０例行ＣＴ检查；全部患者均行手术治疗，经腮腺入路２９例，经颈入路４５例，经颈—下颌骨外旋入路１５例，术后全部标本作病理检查。结果：针吸活检３２例中２７例诊断正确，ＣＴ检查５０例中４６例可准确判断肿瘤的位置；组织学检查良性肿瘤７２例（８１％），以恶性肿瘤、混合瘤多见３７（４２％）。良性肿瘤术后１０例复发（１４％），恶性肿瘤１２例复发或转移（７４％）。结论：术前针吸活检和ＣＴ检查对诊断咽旁肿瘤有意义，经腮腺和经颈部入路是最常用手术进路。
Objective: To summarize the experience of diagnosis and treatment of parapharyngeal space tumor. Methods: A retrospective analysis of 89 cases of parapharyngeal space tumor. Thirty-two patients underwent needle aspiration biopsy before operation and 50 patients underwent CT scan. All the patients underwent surgical treatment. Twenty-nine patients underwent parotid approach, 45 patients underwent trans-cervical approach and 15 patients underwent cervical-mandibular external rotation After surgery, all specimens for pathological examination. Results: Twenty-seven cases were correctly diagnosed by needle aspiration biopsy, and 46 cases were diagnosed accurately by CT examination. 72 cases (81%) were histologically examined with benign tumors, and 37 (42%) were malignant tumors and mixed tumors %). 10 cases of benign tumor recurrence (14%), 12 cases of malignant tumor recurrence or metastasis (74%). Conclusion: Preoperative needle aspiration biopsy and CT examination of parapharyngeal tumor diagnosis of significance, the parotid and neck via the most common surgical approach.