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目的:探讨颈动脉三角区神经鞘瘤的诊断与治疗特点。方法:回顾分析17例颈动脉三角区神经鞘瘤病例的临床特点、影像学特点、诊断及治疗要点。结果:术前确诊16例,误诊1例,颈动脉三角区神经鞘瘤病例的主要来源于交感神经和迷走神经,手术为主要治疗手段,17里病例的神经鞘瘤均被顺利切除。结论:颈动脉三角区神经鞘瘤可依据临床表现、影像学等特点作出正确诊断,选择正确的手术方式,可以取得良好的治疗效果。
Objective: To investigate the diagnostic and therapeutic characteristics of schwannoma in carotid triangle. Methods: The clinical features, imaging characteristics, diagnosis and treatment points of 17 cases of schwannoma in the carotid triangle were retrospectively analyzed. Results: 16 cases were diagnosed preoperatively and 1 case was misdiagnosed. The cases of schwannoma in the carotid triangle were mainly from the sympathetic and vagal nerves. Surgical treatment was the main treatment. The schwannoma in 17 cases was successfully resected. Conclusion: The schwannoma in the carotid triangle can be correctly diagnosed based on clinical manifestations and imaging features. Choosing the correct surgical method can achieve good therapeutic effect.