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本文对我院收治的89例咽旁肿瘤作了回顾分析。术前32例病人作了针吸活检,50例作了CT检查;全部病人均行手术治疗,大多数病人经腮腺和经颈部入路手术。结果在32例针吸活检病人中27例诊断正确,50例CT检查中36例可准确判断肿瘤的位置,组织学见良性肿瘤72例(81%),恶性肿瘤17例(19%),咽旁肿瘤中以混合瘤最为多见,共37例(42%);术后良性肿瘤复发10例(14%),恶性肿瘤12例(74%)。结果显示针吸活检和CT对咽旁肿瘤的术前诊断和评估十分必要和关键,经腮腺入路和经颈部入路是最常用的手术进路,咽旁肿瘤的术后复发率高。
89 cases of parapharyngeal tumors treated in our hospital were retrospectively analyzed. Thirty-two patients underwent preoperative needle aspiration biopsy and 50 patients underwent CT examination. All patients underwent surgical treatment. Most patients undergone parotid and neck surgery. Results Of the 32 needle aspiration biopsy patients, 27 were correctly diagnosed. Of the 50 CT examinations, 36 were accurately located. Thirty-two (81%) of benign tumors, 17 (19%) of malignant tumors, Among them, 37 cases (42%) were most common with mixed tumors, 10 cases (14%) with benign tumors and 12 (74%) with malignant tumors. The results show that needle aspiration biopsy and CT of parapharyngeal tumor preoperative diagnosis and assessment is necessary and critical, the parotid approach and the neck approach is the most commonly used surgical approach, parapharyngeal tumor postoperative recurrence rate.