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颈根部肿块的外科治疗(附26例报告)
引用本文:Zhang S,Wang L,Li S. 颈根部肿块的外科治疗(附26例报告)[J]. 临床耳鼻咽喉头颈外科杂志, 2011, 25(12): 529-530
作者姓名:Zhang S  Wang L  Li S
作者单位:西安交通大学医学院第一附属医院耳鼻咽喉-头颈外科,西安,710061
摘    要:目的:探讨颈根部肿块的外科治疗方法和疗效.方法:对26例颈根部肿块进行手术治疗,其中良性10例,恶性16例.根据病变的范围及性质采取"T"形及"L"形切口,必要时劈开锁骨,切除部分胸骨柄及胸锁关节.结果:10例良性肿块完整切除,其中术后发生乳糜瘘1例,喉返神经损伤1例;16例恶性肿瘤完整切除12例,部分切除4例.术中锁骨下静脉破裂2例,术后永久性臂丛损伤1例,纵隔气肿1例,气管瘘1例,膈神经损伤1例,术腔血肿2例.随访1~5年,良性组无复发及死亡患者,恶性组中术后存活5年者6例,3年者4例,2年者2例,余4例均在术后1年内死亡.结论:颈根部肿块的手术切除是可行的.此区的良性肿瘤手术治疗效果良好,恶性肿瘤手术后也有较好的效果.

关 键 词:颈根部  肿块  外科手术

Surgery for mass at root of the neck--with 26 cases report
Zhang Shaoqiang,Wang Lingu,Li Suiqin. Surgery for mass at root of the neck--with 26 cases report[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2011, 25(12): 529-530
Authors:Zhang Shaoqiang  Wang Lingu  Li Suiqin
Affiliation:ZHANG Shaoqiang WANG Lingu LI Suiqin(Department of Otolaryngology-Head and Neck Surgery,the First Affiliated Hospital of Medical School,Xi'an Jiaotong University,Xi'an,710061,China)
Abstract:Objective:To investigate the surgical treatment of mass at root of the neck.Method:Twenty-six cases of mass in root of the neck,10 benign tumor and 16 malignancy.All the patients were received surgical treatment with T or L shaped incision,and cleidotomy or remove partial of presternum and articulationes sternoclavicularis when necessary.Result:All the benign tumor were removed completely,1 case with chylous leakage and 1 case with recurrent laryngeal nerve injury after operation.Twelve cases of malignant t...
Keywords:root of neck  mass  surgical procedures  operative  
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