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目的:探讨经口翼突进路内镜下切除颈鞘内侧高位咽旁间隙肿瘤的安全性和指征。方法:收集11例行经口翼突进路全程内镜下高位咽旁间隙肿瘤切除的患者作为研究组。选取同期同样大小和位置的咽旁间隙肿瘤传统径路切除患者以1∶1配对作为回顾性对照研究。比较2组的整块切除率、手术时间、术中出血量、术后住院时间、并发症等情况,并进行统计学分析。结果:研究组手术时间为(122.45±22.2)min,术中出血量为(97.26±13.75)ml,术后住院时间(4.09±1.22)d;对照组手术时间为(134.36±20.38)min,术中出血量为(213.64±63.99)ml,术后住院时间(5.10±0.99)d。2组均有分块切除患者。研究组有1例血管纤维瘤患者术后半年复发。研究组术中出血量要少于对照组。2组患者平均手术时间、整块切除率及术后住院时间没有明显差别。结论:经口翼突径路内镜下切除颈鞘内侧的高位咽旁间隙良性肿瘤是可行的,具有视野清楚、损伤小、安全性高及不留外部瘢痕等优点。
Objective: To investigate the safety and indications of endometrioepithelial parapharyngeal space resection of cervical sheath by endobronchial approach. Methods: A total of 11 patients underwent resection of the parapharyngeal space with endoscopic approach through the buccal approach were selected as the study group. Select the same period of the same size and location of the parapharyngeal space tumor in patients with conventional excision of 1: 1 paired as a retrospective control study. The resection rate, operation time, intraoperative blood loss, postoperative hospital stay, complications and so on were compared between the two groups and statistically analyzed. Results: The operation time of the study group was (122.45 ± 22.2) min, the intraoperative blood loss was (97.26 ± 13.75) ml, the postoperative hospital stay (4.09 ± 1.22) days and the control group was (134.36 ± 20.38) min The amount of bleeding was (213.64 ± 63.99) ml, postoperative hospital stay (5.10 ± 0.99) d. Patients in 2 groups had partial resection. One case of angiofibroma in the study group had a recurrence of six months after operation. Study group less blood loss than the control group. There was no significant difference between the two groups in the average operation time, the rate of lump resection and the postoperative hospital stay. Conclusion: It is feasible to remove the benign parapharyngeal space medial to the neck sheath by endobronchial approach. It has the advantages of clear vision, small injury, high safety and no external scar.