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| 1 | 咽旁间隙良性肿瘤的临床分析显示文摘目的 :探讨咽旁间隙良性肿瘤的主要临床特征、诊断方法及临床治疗效果。方法 :回顾分析我院于2010年1月~2014年1月期间经手术治疗的100例咽旁间隙良性肿瘤患者的临床资料,对患者进行CT检查、磁共振成像(magnetic resonance imaging,MRI)检查,分析探讨其病理类型、手术路径及有无并发症发生。结果 :100例患者中绝大部分体征表现为咽侧壁膨隆、软腭隆起和扁桃体移位及颈部肿物,但部分患者未发现阳性体征,仅影像学检查显示咽旁间隙占位。患者术后组织病理学类型多样,主要为多形性腺瘤和神经鞘瘤。手术路径分为单纯颈侧切口入路、经口径路、经颈侧-腮腺入路及经颈侧-下颌骨裂开。术后随访3个月~24个月,平均随访18个月,复发2例。结论 :咽旁间隙位置通常十分隐蔽且解剖毗邻复杂,发生于该间隙的肿瘤多无特异性症状,病理类型种类繁多。CT检查和磁共振成像是临床诊断咽旁间隙肿瘤的重要工具。目前咽旁间隙良性肿瘤以单纯颈侧切口径路切除为主,一次性完整切除率高,且患者复发率较低,值得推广应用。 | 张义 崔静 曹萌萌 许尧生 | 2015 | 湖南师范大学学报(医学版)2015，12，6： | 3 |
| 2 | Biopsy of parotid masses:Review of current techniques显示文摘Definitive diagnosis of parotid gland masses is required optimal management planning and for prognosis. There is controversy over whether fine needle aspiration cytology(FNAC) or ultrasound guided core biopsy(USCB) should be the standard for obtaining a biopsy. The aim of this review is to assess the current evidence available to assess the benefits of each technique and also to assess the use of intra-operative frozen section(IOFS). Literature searches were performed using pubmed and google scholar. The literature has been reviewed and the evidence is presented. FNAC is an accepted and widely used technique. It has been shown to have variable diagnostic capabilities depending on centres and experience of staff. USCB has a highly consistent diagnostic accuracy and can help with tumour grading and staging. However, the technique is more invasive and there is a question regarding potential for seeding. Furthermore, USCB is less likely to be offered as part of a one-stop clinic. IOFS has no role as a first line diagnostic technique but may be reserved as an adjunct or for lesions not amenable to percutaneous biopsy. On balance, USCB seems to be the method of choice. The current evidence suggests it has superior diagnostic potential and is safe. With time, USCB is likely to supplant FNAC as the biopsy technique of choice, replicating that which has occurred already in other areas of medicine such a breast practice. | Sananda Haldar Joseph D Sinnott Kemal M Tekeli Samuel S Turner David C Howlett | 2016 | World Journal of Radiology2016，8，5： | 1 |
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