内镜辅助下咽旁隙肿瘤切除术的临床应用

Clinical application of endoscopeassisted resection of tumors in parapharyngeal space

摘要:

目的探讨内镜辅助下咽旁隙肿瘤切除术的临床应用的价值。方法收集2016年2月~2018年2月于上海交通大学医学院附属第九人民医院耳鼻咽喉头颈外科行内镜辅助下咽旁隙肿瘤切除术患者16 例，其中颈外径路12 例，经口径路2 例，联合径路2 例，分析并总结将内镜应用于咽旁隙肿瘤切除术的方法及优势。结果16 例患者均完整切除肿瘤，其中恶性肿瘤4 例，良性肿瘤12 例。所有患者均无永久性并发症。所有原发性咽旁隙良恶性肿瘤患者术后随访12~34个月均无复发。 结论内镜辅助下咽旁隙肿瘤切除术可以完整切除咽旁隙肿瘤而无需截断下颌骨，具有手术创伤小，并发症发生率低的优点，值得研究及推广应用。

关键词:咽旁隙|内镜|肿瘤|内镜手术|手术径路

Abstract:

ObjectiveTo explore the clinical application value of endoscopeassisted resection of tumors in parapharyngeal space.Methods16 patients with parapharyngeal space tumors undergoing endoscopeassisted surgical resection in our department from Feb. 2016 to June 2018 were included. Of them, transcervical approach was adopted in 12 cases, transoral approach in 2 and combined approach in the other 2. The surgical techniques and advantages of endoscopeassisted resection of parapharyngeal space tumors were summarized and analyzed.ResultsTotal tumor resection was achieved in all cases. Pathological examination confirmed malignant tumors in 4 cases and benign tumors in 12. Permanent complications occurred in none. Postoperative followup of all the patients with primary parapharyngeal space tumors for 8 to 34 months showed no recurrence.ConclusionWith advantages of light surgical trauma and few complications as well as total tumor resection without mandibular osteotomy, endoscopeassisted resection of tumors in parapharyngeal space is worthy of further study and extensive application.

Key words:Parapharyngeal space| Endoscope| Tumor| Endoscopeassisted resection|Surgical approach