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目的 :提高对临床少见的咽旁间隙肿瘤的诊断与治疗水平。方法 :对收治的 48例咽旁间隙肿瘤的临床资料进行回顾性分析。结果 :全部患者随访 6个月～ 9年 ,复发 4例 ,2例为良性肿瘤 ,再次手术治愈 ;2例恶性者分别死于术后 3年、1年 3个月。余均治愈。其中 ,并发声嘶 3例 ,呛咳 3例 ,伸舌偏斜 1例 ,Horner综合征 4例。结论 :原发性咽旁间隙肿瘤中 ,以神经源性肿瘤居多。CT、MRI对肿块的大小、形态、位置、周围的关系及继发改变能清晰显示 ;DSA对肿瘤血管显示清晰。颈侧径路为主要的手术径路。
Objective: To improve the clinical diagnosis and treatment of parapharyngeal space tumor. Methods: The clinical data of 48 cases of parapharyngeal space tumors were analyzed retrospectively. Results: All patients were followed up for 6 months to 9 years, 4 cases were relapsed, 2 cases were benign tumors and were cured by surgery again. Two cases of malignant patients died after 3 years and 1 year and 3 months respectively. I were cured. Among them, 3 cases of concurrent hoarseness, cough in 3 cases, skewed tongue in 1 case, Horner syndrome in 4 cases. Conclusion: Primary parapharyngeal space tumors are mostly neurogenic tumors. CT, MRI of the tumor size, shape, location, the relationship between the surrounding and secondary changes can be clearly displayed; DSA tumor blood vessels showed clearly. The neck side path as the main surgical approach.