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目的分析颈侧径路咽旁间隙手术在良性肿瘤切除中的应用。方法回顾总结北京同仁医院2004年7月~2007年7月19例20次咽旁间隙良性肿瘤切除术。结果20次手术均在全麻下颈侧径路完成,无永久并发症发生。所有患者随访6(6~36)个月以上。19例中1例术后1年3个月复发,再次全麻经颈手术切除。结论颈侧径路是咽旁间隙良性肿瘤切除适用的术式,创伤小且效果好,所有良性肿瘤基本可行颈侧径路解决。
Objective To analyze the application of parapharyngeal space approach in the resection of benign tumors. Methods A retrospective review of 20 cases of benign parapharyngeal space resection in Beijing Tongren Hospital from July 2004 to July 2007 was performed. Results 20 operations were performed under general anesthesia neck path, no permanent complications. All patients were followed up 6 (6 ~ 36) months. One patient in 19 cases relapsed at 1 year and 3 months after operation, and underwent general anesthesia by neck surgery. Conclusions The neck lateral approach is a suitable operative procedure for resection of benign parapharyngeal space. The trauma is small and the effect is good. All benign tumors are feasible for the approach of the neck lateral approach.