论文部分内容阅读
患者,女,60岁,因“咽部不适3个月,伴吞咽梗阻感1个月”入院。病程中伴睡眠时憋气,仰卧位时明显,仅能进食流食。入院检查:言语含糊不清,似口若含物。咽部黏膜轻度充血,咽后壁隆起约6cm×6cm,边界欠清、质中、无压痛;双侧颈部未及肿大淋巴结。颈部CT及MRI:口咽、喉咽平面咽后间隙巨大占位,大小约7cm×5cm,多考虑肿瘤性病变(图1~2)。患者发病以来无咽痛、发热、骨痛或关节痛等症状。电子喉镜检查:口咽、喉咽后壁隆起,黏膜表面光滑,声带运动正常。入院
Patient, female, 60 years old, due to “pharyngeal discomfort for 3 months, with swallowing obstruction a sense of ” admission. During the course of sleep with suffocation, obvious when supine position, can only eat fluid. Admission examination: vague vague words, if eloquent content. Pharyngeal mucosa mild congestion, posterior pharyngeal wall uplift of about 6cm × 6cm, the border is not clear, quality, no tenderness; bilateral neck and enlarged lymph nodes. Neck CT and MRI: the oropharynx, hysteromyopharyngeal space posterior pharyngeal huge occupancy, the size of about 7cm × 5cm, more consideration of tumor lesions (Figure 1 and 2). No patient has sore throat, fever, bone pain or joint pain and other symptoms. Electronic laryngoscopy: oropharyngeal, hypopharyngeal wall bulge, mucosal surface smooth, normal vocal cord movement. Admission