颈部神经鞘瘤的诊断与手术治疗6例

目的 探讨颈部神经鞘瘤的诊断与手术治疗经验。方法 回顾性分析6例颈部神经鞘瘤患者的临床资料，总结患者治疗前后临床表现及准确的诊断手段、医疗方案。结果 根据病史、临床表现特点、辅助检查(B超、CT、MRI)以及细针穿刺抽吸活检可作出诊断。本组6例术前诊断正确，手术切除。术后病理诊断为良性神经鞘瘤，无明显并发症。结论 对于颈部神经鞘瘤患者，B超和CT检查特别是细针穿刺抽吸活检有助于诊断。手术切除是有效的治疗方法，细致操作，可避免并发症的发生。

Diagnosis and surgical treatment of cervical neurilemmoma(6 cases report)

Objective To explore diagnosis and surgical treatment of cervical neuriemmoma. Methods A retrospective analysis of 6 patients with cervical neuriemmoma was performed. Clinical manifestations before and after treatment, diagnostic methods and treatment options were summarized. Results Diagnosis could be achieved based on clinical manifestations， laboratory examinations (ultrasonography, CT, MRI), and cytology of fine needle aspiration. Correct preoperative diagnosis was made in all 6 cases, which was confirmed by postoperative pathological findings. Surgical resections were successfully performed on all patients without complications. Conclusions For patients with neuriemmoma, ultrasonography, CT examination, and especially fine needle aspiration biopsy, are helpful for diagnosis. Surgical resection is the most effective therapy and complications can be avoided by delicate operation.