渭南市中心医院成功实施经口内镜下咽旁间隙巨大肿物切除术
<div class="wx_rich_media_content" id="jsWxContainer"><section style="background-color: rgb(239, 249, 255); line-height: 2; letter-spacing: 1px; box-sizing: border-box; text-align: justify; color: rgb(62, 62, 62);" data-pm-slice="0 0 []"><p style="box-sizing: border-box;"><span leaf=""><br></span></p><section style=" text-align: center;justify-content: center;display: flex;flex-flow: row; box-sizing: border-box; "><section style="display: inline-block;width: 87%;vertical-align: top;align-self: flex-start;flex: 0 0 auto;height: auto;border-bottom-style: solid;border-bottom-width: 0px;box-sizing: border-box;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin-bottom: 5px; box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: center; padding-right: 7px; box-sizing: border-box;"><section style="text-align: center; line-height: 0; box-sizing: border-box;"><br></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;box-sizing: border-box;"><section style="margin-top: 0.5em; margin-bottom: 0.5em; box-sizing: border-box;"><section style="background-color: rgb(52, 130, 186);height: 1px;box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section><section style=" text-align: left;justify-content: flex-start;display: flex;flex-flow: row; box-sizing: border-box; "><section style="display: inline-block;width: 100%;vertical-align: top;align-self: flex-start;flex: 0 0 auto;padding: 15px;background-color: rgb(255, 255, 255);box-sizing: border-box;"><section style="margin-top: 10px; box-sizing: border-box;"><section style="text-align: justify; font-size: 16px; box-sizing: border-box;"><p style="text-indent: 2.125em; box-sizing: border-box;"><span leaf="">1月23日，渭南市中心医院耳鼻喉头颈外科再次为一名患者成功实施经口内镜下咽旁间隙巨大肿物切除术。此次手术标志着该院在头颈肿瘤微创治疗方面的技术进一步成熟，为复杂头颈部疾病患者提供了更优治疗选择。</span></p></section></section><section style=" margin-top: 10px;margin-bottom: 10px;text-align: center; box-sizing: border-box; "><section style="padding: 3px;display: inline-block;border-bottom: 5px solid rgb(95, 156, 239);font-size: 16px;box-sizing: border-box;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;"><span leaf="">挑战：深藏不露的“隐秘”肿物</span></strong></p></section></section><section style="text-align: center; line-height: 0; box-sizing: border-box;"><section style="max-width: 100%;vertical-align: middle;display: inline-block;line-height: 0;border-style: solid;border-width: 4px;border-color: rgb(239, 249, 255);box-sizing: border-box;" nodeleaf=""><span class="wxart_image" wx-style="display:inline-block;vertical-align: middle;max-width: 100%;width: 100%;box-sizing: border-box;"></span></section></section><section style="margin-top: 10px; box-sizing: border-box;"><section style="text-align: justify; font-size: 16px; box-sizing: border-box;"><p style="text-indent: 2.125em; box-sizing: border-box;"><span leaf="">患者杨女士（化名），44岁，在体检颅脑CT检查中发现咽旁间隙存在一处大小约7×6×6厘米的肿物。这个位置特殊——咽旁间隙是位于颈部深处的潜在腔隙，周围毗邻颈内动脉、颈内静脉、颅神经等重要结构，传统手术需要从颈部外部做切口，创伤大、风险高，且术后可能遗留明显疤痕。为寻求更佳治疗方案，杨女士来到渭南市中心医院就诊。</span></p></section></section><section style=" margin-top: 10px;margin-bottom: 10px;text-align: center; box-sizing: border-box; "><section style="padding: 3px;display: inline-block;border-bottom: 5px solid rgb(95, 156, 239);font-size: 16px;box-sizing: border-box;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;"><span leaf="">创新：微创路径解决传统难题</span></strong></p></section></section><section style="margin-top: 10px; box-sizing: border-box;"><section style="text-align: justify; font-size: 16px; box-sizing: border-box;"><p style="text-indent: 2.125em; box-sizing: border-box;"><span leaf="">咽旁间隙肿瘤手术一直是耳鼻喉头颈外科的技术难点。科室主任宋建涛介绍，传统手术需在颈部切开约8-10厘米切口，创伤较大，恢复周期长，且存在损伤面部神经等风险。经科室详细讨论，医疗团队决定为患者施行经口内镜下肿物切除术。</span></p><p style="text-indent: 2.125em; box-sizing: border-box;"><span leaf="">与传统开放手术相比，经口内镜下咽旁间隙肿物切除术具有明显优势：1. 无颈部疤痕：手术经自然腔道进行，颈部无切口，满足患者美观需求。2. 创伤小、恢复快：避免了大范围组织剥离，术后疼痛轻，住院时间缩短。3. 功能保护更好：内镜放大视野有助于识别和保护重要神经血管。4. 并发症少：降低了感染、血肿、神经损伤等风险。</span></p></section></section><section style=" margin-top: 10px;margin-bottom: 10px;text-align: center; box-sizing: border-box; "><section style="padding: 3px;display: inline-block;border-bottom: 5px solid rgb(95, 156, 239);font-size: 16px;box-sizing: border-box;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;"><span leaf="">手术：毫米之间的精密操作</span></strong></p></section></section><section style="margin-top: 10px; box-sizing: border-box;"><section style="text-align: justify; font-size: 16px; box-sizing: border-box;"><p style="text-indent: 2.125em; box-sizing: border-box;"><span leaf="">手术在麻醉科协作下进行。耳鼻喉头颈外科团队借助内镜系统放大显示手术区域，清晰观察肿瘤与周围血管、神经的解剖关系。凭借丰富解剖经验与内镜操作技术，医生在有限空间内仔细分离肿瘤组织，完整保留重要血管与神经。手术历时两个多小时，肿瘤被完整切除，术中出血约50毫升。</span></p><p style="text-indent: 2.125em; box-sizing: border-box;"><span leaf="">据参与手术的副主任医师赵海军介绍，手术关键在于在狭小空间内完整切除肿瘤的同时，保护好周围重要结构。内镜提供的清晰视野与照明，为精细操作提供了保障。</span></p></section></section><section style=" margin-top: 10px;margin-bottom: 10px;text-align: center; box-sizing: border-box; "><section style="padding: 3px;display: inline-block;border-bottom: 5px solid rgb(95, 156, 239);font-size: 16px;box-sizing: border-box;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;"><span leaf="">科普知识：认识咽旁间隙肿瘤</span></strong></p></section></section><section style="margin-top: 10px; box-sizing: border-box;"><section style="text-align: justify; font-size: 16px; box-sizing: border-box;"><p style="text-indent: 2.125em; box-sizing: border-box;"><span leaf="">咽旁间隙是位于颈部深处的潜在腔隙，分为茎突前隙和茎突后隙。这个区域发生的肿瘤虽然不多见，但种类繁多，包括唾液腺肿瘤、神经源性肿瘤、血管瘤等。咽旁间隙肿瘤早期症状不明显，可能仅表现为咽部异物感或不适。随着肿瘤增大，可能出现吞咽困难、呼吸不畅等症状。由于位置深在，常规体检难以发现，往往需要CT或MRI检查才能确诊。专家提醒，如果出现持续不缓解的咽部异物感、吞咽困难或颈部无痛性肿块，应及时到耳鼻喉科就诊，进行专业检查。</span></p></section></section><section style=" margin-top: 10px;margin-bottom: 10px;text-align: center; box-sizing: border-box; "><section style="padding: 3px;display: inline-block;border-bottom: 5px solid rgb(95, 156, 239);font-size: 16px;box-sizing: border-box;"><p style="box-sizing: border-box;"><strong style="box-sizing: border-box;"><span leaf="">专科实力：打造区域头颈疾病诊疗中心</span></strong></p></section></section><section style="margin-top: 10px; box-sizing: border-box;"><section style="text-align: justify; font-size: 16px; box-sizing: border-box;"><p style="text-indent: 2.125em; box-sizing: border-box;"><span leaf="">渭南市中心医院耳鼻喉头颈外科配备鼻内镜、喉内镜、手术显微镜等先进设备，拥有一支经验丰富的医疗团队。科室近年来持续开展技术创新，提升复杂头颈疾病诊疗能力。此次手术的成功开展，体现了耳鼻喉头颈外科在微创头颈外科技术上的稳步发展，以及在复杂头颈疾病领域的诊治能力。科室将继续推进技术探索与创新，为更多头颈疾病患者提供优质、微创的治疗方案。</span></p></section></section></section></section><section style="height: auto;transform: perspective(0px);-webkit-transform: perspective(0px);-moz-transform: perspective(0px);-o-transform: perspective(0px);transform-style: flat;box-sizing: border-box; "><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin-top: 5px; transform: rotateY(180deg); box-sizing: border-box;"><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; max-width: 100%; flex: 0 0 auto; height: auto; align-self: center; padding-right: 7px; box-sizing: border-box;"><section style="text-align: center; line-height: 0; box-sizing: border-box;"><br></section></section><section style="display: inline-block;vertical-align: middle;width: auto;align-self: center;flex: 100 100 0%;height: auto;box-sizing: border-box;"><section style="margin-top: 0.5em; margin-bottom: 0.5em; box-sizing: border-box;"><section style="background-color: rgb(52, 130, 186);height: 1px;box-sizing: border-box;"><svg viewBox="0 0 1 1" style="float:left;line-height:0;width:0;vertical-align:top;"></svg></section></section></section></section></section></section></section><p style="box-sizing: border-box;"><span leaf=""><br></span></p></section><p data-pm-slice="2 2 []" class="js_darkmode__25" style="-webkit-tap-highlight-color: transparent; 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line-height: 0; text-align: center; visibility: visible;"></section></section><p style="display: none;"><mp-style-type data-value="3"></mp-style-type></p></div><p></p> 提高医疗服务质量 技术越来越先进了 为优秀的白衣天使点赞 技术越来越先进了
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