在副喉空间的罕见病变的手术治疗
Hongbo Xu1, Weiwei Wang1,2, Xiujuan Kou1
1Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, 1stDongjiaominxiang, Dongcheng District, Beijing, 100730, China.
概括
最少侵入性内镜横口外科手术是有效的管理罕见的副喉空间 (PPS) 瘤,包括良性和恶性类型. 这种方法为这些复杂的PPS病变提供了传统开放手术的可行替代方案.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 手术瘤学手术瘤学
背景情况:
- 副喉空间 (PPS) 病变表现出多种不同的病理.
- 虽然常见的PPS瘤已经建立了管理,但罕见的实体需要进一步调查.
- 了解罕见的PPS瘤对于有效的治疗策略至关重要.
研究的目的:
- 为了回顾回顾 parapharyngeal空间 (PPS) 的罕见实体.
- 为了评估对罕见PPS瘤的微创手术方法的疗效.
- 评估各种罕见的PPS病变的治疗结果.
主要方法:
- 328名患有PPS瘤的患者的回顾性审查 (2010年1月至2021年12月).
- 排除常见的瘤 (多形腺瘤, schwannoma).
- 对51名患有罕见PPS实体 (42名良性,9名恶性) 的患者进行分析,重点关注人口统计学,病理学和手术管理.
主要成果:
- 在52.4%的良性病例和66.7%的恶性罕见PPS病例中使用了微创性内透口方法.
- 在47.6%的良性病例和33.3%的恶性病例中,采用了传统的宫穿越方法.
- 内镜方法在良性和恶性罕见的PPS病变中都显示出有用性.
结论:
- 罕见的副喉空间 (PPS) 瘤是一个异质的群体.
- 透口透视方法适用于超过一半的罕见PPS实体,包括良性和恶性疾病.
- 最少侵入性手术为管理罕见的PPS瘤提供了有价值的选择.
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