| 孙臻峰,张 佳,王国良.颈部神经鞘瘤44例临床分析[J].肿瘤学杂志,2012,18(9):668-669. |
| 颈部神经鞘瘤44例临床分析 |
| Clinical Analysis of 44 Cases with Cervical Neurilemmoma |
| 投稿时间：2012-07-11 |
| DOI： |
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| 中文关键词: 头颈部肿瘤 神经鞘瘤 外科手术 |
| 英文关键词:head and neck neoplasms neurilemmoma surgery |
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| 中文摘要: |
| 摘 要:［目的］ 探讨颈部神经鞘瘤的临床特征、诊断方法及治疗。［方法］ 44 例颈部神经鞘瘤均行手术切除。术前均行B超及CT检查。［结果］ B超诊断符合率为72.7％（32/44）。普通CT诊断符合率为81.9％（36/44），CTA诊断符合率为94.4%（17/18），诊断性穿刺活检阳性率为80.0%(12/15)。44 例术后随访3个月~9年，39例无复发，1例位于锁骨上三角的肿块3 年后复发。1例术后出现霍纳综合征，3个月后消失，1 例术后出现声嘶。［结论］ 颈部神经鞘瘤术前鉴别诊断非常重要；一旦确诊应尽早手术摘除，术中尽可能保护神经功能，避免并发症的发生。 |
| 英文摘要: |
| Abstract：［Purpose］To investigate the clinical features， diagnosis and the treatment for cervical neurilemmoma.［Methods］ Forty-four cases with cervical neurilemmoma were treated by surgery. All cases underwent ultrasound and CT scan preoperation.［Results］ Ultrasound dia-gnostic coincidence rate was 72.7%(32/44); CT diagnostic coincidence rate was 81.9%(36/44); CTA diagnostic coincidence rate was 94.4% (17/18); diagnostic puncture biopsy positive rate was 80.0%(12/15). Forty-four cases were followed up for 3 months to 9 years. No recurrence was found in 39 cases，1 case with tumor located at the supraclavicular triangle recurrenced after 3 years. One case developed Horner’s syndrom postoperation and the syndrom disappeared after 3 months. One case developed hoarseness. ［Conclusion］ It is very important to have a preoperative differential diagnosis for cervical neurilemmoma. Resection of the tumor should be performed as soon as possible once the diagnosis confirmed.Nerve function should be protected in order to avoid severe complications. |
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