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目的:探讨颈鞘内神经鞘瘤的诊断与治疗方法。方法:回顾性分析2005～2010年收治的23例颈鞘内神经鞘瘤患者的临床资料。结果:彩超和CT-血管造影(CT-angiography,CTA)检查后对23例患者进行手术治疗,术后经病理检查确诊为神经鞘瘤,术后随访,无严重并发症发生,无复发病例。结论:术前CTA检查是诊断颈鞘内神经鞘瘤的有效方法,手术切除务求彻底,术中尽可能保存来源神经的完整性是治愈该病的关键。
Objective: To investigate the diagnosis and treatment of nerve sheath tumors in the sheath. Methods: The clinical data of 23 patients with sheath-sheath schwannoma treated in our hospital from 2005 to 2010 were analyzed retrospectively. Results: Twenty-three patients underwent color Doppler ultrasound and CT-angiography (CTA) after operation. The patients were diagnosed as schwannoma by pathology after operation. No postoperative complications were found and no recurrence was found. Conclusions: Preoperative CTA examination is an effective method to diagnose schwannoma in the sheath and neck. Surgical excision should be performed thoroughly and the integrity of the source nerve during operation should be saved as the key to cure the disease.