| 择区性颈清扫术治疗复发性鳃裂畸形 |
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| 引用本文： | 陈良嗣,宋新汉,张思毅,韩智娟,罗小宁,陈少华,詹建东.择区性颈清扫术治疗复发性鳃裂畸形[J].临床耳鼻咽喉头颈外科杂志,2011,25(2). |
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| 作者姓名： | 陈良嗣 宋新汉 张思毅 韩智娟 罗小宁 陈少华 詹建东 |
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| 作者单位： | 1. 广东省人民医院(广东省医学科学院)耳鼻咽喉头颈外科,广州,510080
2. 中山大学附属第二医院保健科 |
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| 摘 要： | 目的:探讨择区性颈清扫术治疗复发性鳃裂畸形的疗效.方法:回顾性分析18例复发性鳃裂畸形病例资料.根据鳃裂畸形的胚胎学和解剖学特点,选择不同类型的择区性颈清扫术式治疗.手术解剖、保护重要的血管神经,应用整块切除原则根除病变组织、瘢痕、炎性肉芽.结果:18例患者中,16例切口Ⅰ期愈合,2例术后切口局部感染,经换药后愈合.1例复发性第一鳃裂瘘管术后出现暂时性面瘫, 术后2个月完全恢复.1例复发性第四鳃裂瘘管,术后出现暂时性声带麻痹,1个月后恢复.随访12～78个月,平均35个月,所有病例未见复发.结论:择区性颈清扫术治疗复发性鳃裂畸形,安全、有效.
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| 关 键 词： | 复发性鳃裂畸形 择区性颈清扫术 面神经麻痹 声带麻痹 |
Selective neck dissection for treating recurrent branchial anomalies |
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| CHEN Liangsi,SONG Xinhan,ZHANG Siyi,HAN Zhijuan,LUO Xiaoning,CHEN Shaohua,ZHAN Jiandong.Selective neck dissection for treating recurrent branchial anomalies[J].Journal of Clinical Otorhinolaryngology,2011,25(2). |
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| Authors: | CHEN Liangsi SONG Xinhan ZHANG Siyi HAN Zhijuan LUO Xiaoning CHEN Shaohua ZHAN Jiandong |
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| Institution: | CHEN Liangsi1 SONG Xinhan1 ZHANG Siyi1 HAN Zhijuan2LUO Xiaoning1 CHEN Shaohua1 ZHAN Jiandong1(1Department of Otolaryngology-Head and Neck Surgery,Guangdong General Hospital,Guangdong Academy of Medical Science,Guangzhou,510080,China,2Department of Health Care,Second Affiliated Hospital of Sun Yat-sen University) |
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| Abstract: | Objective:To evaluate the role of selective neck dissection in the treatment of recurrent branchial anomalies.Method:The clinical data of 18 patients with recurrent branchial anomalies were retrospectively analyzed.In accordance with the embryologic and anatomic features of branchial anomalies,different types of selective neck dissection were applied.With dissection and protection of important vessels,nerves and other structures,enbloc resection principles were applied to extirpate branchial lesions,scarrin... |
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| Keywords: | recurrent branchial abnormalies selective neck dissection facial paralysis vocal cord paralysis |
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