CAJ | 학술논문

目的总结手术显微镜下切除儿童及青少年咽旁间隙神经源性肿瘤的经验.方法在手术显微镜下对6例原发于颈侧和咽旁间隙的神经源性肿瘤进行外科切除,患者均为儿童及青春期少年,其中神经纤维瘤2例,神经鞘膜瘤3例,副神经节瘤1例.神经来源包括迷走神经、颈交感神经丛、颈丛神经、舌下神经及颈动脉体.结果 6例肿瘤中5例完全切除,1例近全切除.术后并发症包括一过性的Horner氏征1例,暂时性呛咳1例,暂时性伸舌偏斜1例,暂时性手臂握持无力1例,随访期内均完全恢复.持久性迷走神经切除1例.结论在显微镜下切除神经源性肿瘤有一定优点,主要有尖源明亮、组织辨别度高、神经损伤小、重要结构观察清晰的特点,易于同期做神经修复等.
목적 총결수술현미경하절제인동급청소년인방간극신경원성종류적경험.방법 재수술현미경하대6례원발우경측화인방간극적신경원성종류진행외과절제,환자균위인동급청춘기소년,기중신경섬유류2례,신경초막류3례,부신경절류1례.신경래원포괄미주신경、경교감신경총、경총신경、설하신경급경동맥체.결과 6례종류중5례완전절제,1례근전절제.술후병발증포괄일과성적Horner씨정1례,잠시성창해1례,잠시성신설편사1례,잠시성수비악지무력1례,수방기내균완전회복.지구성미주신경절제1례.결론 재현미경하절제신경원성종류유일정우점,주요유첨원명량、조직변별도고、신경손상소、중요결구관찰청석적특점,역우동기주신경수복등.
Objective To evaluate the experience of the resection of parapharyngeal or cervical primary neurogenic neoplasm in 6 children or adolescence.Methods The 6 cases of primary neurogenic tumor in parapharyngeal space and neck were operated under surgical microscope,2 out of 6 are neurofibromas,3 out of 6 neurolemmas, 1 was paraganglioma; the involved nerve include vagal,cervical sympathetic,cervical plexiform,hypoglossal,and carotid body.Results Five out of the six masses were resected totally,one of them was subtotal resected.In one case the vagus was sacrificed.The complications included transient Horner's syndrome (1 case),transient choke and dysphagia (1case), 1 case had transient weak grip of ipsilateral hand, transient tongue stick skew.All the dysfunction of related nerves had been recovered during the follow up.Conclusions There are several advantages to removal cervical neurogenic tumor dissected under microscope through thanscervical approach,excellent illumination,fine tissue contrast,much little injury for associated nerves,and easy for simultaneous end to end anastomosis of injured nerves with important function.