中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2014年
12期
986-989
,共4页
李丽%林鹏%魏先锋%王巍%张圣池
李麗%林鵬%魏先鋒%王巍%張聖池
리려%림붕%위선봉%왕외%장골지
头颈部肿瘤%内窥镜检查%耳鼻喉外科手术
頭頸部腫瘤%內窺鏡檢查%耳鼻喉外科手術
두경부종류%내규경검사%이비후외과수술
Head and Neck neoplasms%Endoscopy%Otorhinolaryngologvc surgical procedures
目的 探讨内镜摄录系统辅助下咽旁间隙肿瘤切除术的临床应用.方法 在内镜摄录系统辅助下,采用经口腔径路6例、经颈侧径路21例或经颈腮腺径路3例,对30例咽旁间隙肿瘤患者行手术治疗,分析内镜摄录系统支撑该类疾病手术的优势与疗效.结果 30例患者的肿瘤均完整切除,无肿瘤残留.其中良性肿瘤23例(腮腺多形性腺瘤14例,神经鞘瘤8例,淋巴结结核1例),恶性肿瘤7例(转移癌2例,恶性混合瘤2例,恶性神经鞘瘤1例,腺样囊性癌2例),恶性肿瘤病例术后追加放疗.术后出现伸舌偏斜2例,无伤口感染,无大出血.所有病例术后随访1～5年,无肿瘤复发.7例恶性肿瘤患者随访1年1例,3年4例,5年2例,均健在.结论 内镜辅助下行咽旁隙肿瘤切除术,将以往部分不可视性变为全部直视下操作,处理可视下难以发现的病灶死角,提高了手术质量,降低了手术并发症,具有较高的临床应用价值.
目的 探討內鏡攝錄繫統輔助下嚥徬間隙腫瘤切除術的臨床應用.方法 在內鏡攝錄繫統輔助下,採用經口腔徑路6例、經頸側徑路21例或經頸腮腺徑路3例,對30例嚥徬間隙腫瘤患者行手術治療,分析內鏡攝錄繫統支撐該類疾病手術的優勢與療效.結果 30例患者的腫瘤均完整切除,無腫瘤殘留.其中良性腫瘤23例(腮腺多形性腺瘤14例,神經鞘瘤8例,淋巴結結覈1例),噁性腫瘤7例(轉移癌2例,噁性混閤瘤2例,噁性神經鞘瘤1例,腺樣囊性癌2例),噁性腫瘤病例術後追加放療.術後齣現伸舌偏斜2例,無傷口感染,無大齣血.所有病例術後隨訪1～5年,無腫瘤複髮.7例噁性腫瘤患者隨訪1年1例,3年4例,5年2例,均健在.結論 內鏡輔助下行嚥徬隙腫瘤切除術,將以往部分不可視性變為全部直視下操作,處理可視下難以髮現的病竈死角,提高瞭手術質量,降低瞭手術併髮癥,具有較高的臨床應用價值.
목적 탐토내경섭록계통보조하인방간극종류절제술적림상응용.방법 재내경섭록계통보조하,채용경구강경로6례、경경측경로21례혹경경시선경로3례,대30례인방간극종류환자행수술치료,분석내경섭록계통지탱해류질병수술적우세여료효.결과 30례환자적종류균완정절제,무종류잔류.기중량성종류23례(시선다형성선류14례,신경초류8례,림파결결핵1례),악성종류7례(전이암2례,악성혼합류2례,악성신경초류1례,선양낭성암2례),악성종류병례술후추가방료.술후출현신설편사2례,무상구감염,무대출혈.소유병례술후수방1～5년,무종류복발.7례악성종류환자수방1년1례,3년4례,5년2례,균건재.결론 내경보조하행인방극종류절제술,장이왕부분불가시성변위전부직시하조작,처리가시하난이발현적병조사각,제고료수술질량,강저료수술병발증,구유교고적림상응용개치.
Objective To explore the advancement of the endoscopic video system in parapharyngeal space tumor resection.Methods Thirty cases parapharyngeal space tumor patients underwent endoscopy-assisted tumors resection in otorhinolaryngology-head and neck surgery of Tianjin First Central Hospital.The passway included trans-oral cavity in 6 cases,21 cases with trans-neck side and transneck-parotid gland in 3 cases.Results Tumors of all eases were completely resected,without residual tumor.It was included 23 cases of benign tumors (14 cases of parotid pleomorphic adenoma,8 cases of neurilemmoma,lymph node tuberculosis in 1 case),malignant tumor in 7 cases (2 cases of metastatic carcinoma,2 cases of malignant mixed tumor,1 case of malignant neurilemmoma,2 cases of adenoid cystic carcinoma).Tongue deflection was recorded in 2 cases.There were neither wound infection or bleeding.All the cases were followed up after operation without recurrence.Seven cases of malignant tumor patients were all alive with follow-up 1 year in 1 case,3 years in 4 cases,2 cases for five years.Conclusions Endoscopy-assisted tumors resection can deal with visual lesion comer and allow previous part no visibility surgery into all operation under direct vision.It contributed to improve the quality of operation,reduce the surgery complication.It was worth to be wide spreaded in clinic.
