经口内镜高位咽旁间隙良性肿瘤切除术临床分析

发布时间：2018-05-02 03:13

本文选题：头颈部肿瘤 + 咽旁间隙肿瘤　；参考：《临床耳鼻咽喉头颈外科杂志》2017年15期

【摘要】：目的:探讨经口翼突进路内镜下切除颈鞘内侧高位咽旁间隙肿瘤的安全性和指征。方法:收集11例行经口翼突进路全程内镜下高位咽旁间隙肿瘤切除的患者作为研究组。选取同期同样大小和位置的咽旁间隙肿瘤传统径路切除患者以1∶1配对作为回顾性对照研究。比较2组的整块切除率、手术时间、术中出血量、术后住院时间、并发症等情况,并进行统计学分析。结果:研究组手术时间为(122.45±22.2)min,术中出血量为(97.26±13.75)ml,术后住院时间(4.09±1.22)d;对照组手术时间为(134.36±20.38)min,术中出血量为(213.64±63.99)ml,术后住院时间(5.10±0.99)d。2组均有分块切除患者。研究组有1例血管纤维瘤患者术后半年复发。研究组术中出血量要少于对照组。2组患者平均手术时间、整块切除率及术后住院时间没有明显差别。结论:经口翼突径路内镜下切除颈鞘内侧的高位咽旁间隙良性肿瘤是可行的,具有视野清楚、损伤小、安全性高及不留外部瘢痕等优点。
[Abstract]:Objective: to evaluate the safety and indications of endoscopic resection of the medial cervical sheath and parapharyngeal space tumors via oral pterygoid approach. Methods: eleven patients with high parapharyngeal space tumor resection via oral pterygoid approach were selected as study group. 1:1 pairing was used as a retrospective control study in patients with parapharyngeal space tumors of the same size and location. The total resection rate, operation time, intraoperative bleeding volume, postoperative hospitalization time and complications were compared between the two groups, and statistical analysis was carried out. Results: in the study group, the operative time was 122.45 卤22.2 min, the intraoperative bleeding volume was 97.26 卤13.75 ml, the postoperative hospitalization time was 4.09 卤1.22 min, the operative time in the control group was 134.36 卤20.38 min, the intraoperative bleeding volume was 213.64 卤63.99 ml, and the postoperative hospitalization time was 5.10 卤0.99)d.2. In the study group, one patient with angiofibroma recurred half a year after operation. The intraoperative bleeding in the study group was less than that in the control group (n = 2). There was no significant difference in the total resection rate and the postoperative hospitalization time. Conclusion: endoscopic excision of high parapharyngeal space benign tumors in the medial cervical sheath is feasible, with advantages of clear visual field, small injury, high safety and no external scar.
【作者单位】：首都医科大学附属北京同仁医院耳鼻咽喉头颈外科教育部首都医科大学耳鼻咽喉头颈外科重点实验室;
【分类号】：R739.63

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