中国现代医学杂志2017，Vol.27Issue(2)：110-112,3.DOI:10.3969/j.issn.1005-8982.2017.02.021
颈淋巴结清扫术不同解剖入路发生乳糜瘘或副神经损伤的经验探讨
Correlations of different approaches in neck dissection with chylous fistula or accessory nerve injury
何剑 1田勇泉 1吴平 1徐婧 1张帅 1康竞 1罗昰 1唐瑶云1
作者信息
- 1. 中南大学湘雅医院 耳鼻咽喉头颈外科，湖南 长沙 410008
- 折叠
摘要
Abstract
Objective To compare chylous fistula or accessory nerve injury in different surgical approaches of neck dissection. Methods Eighty patients with hypopharyngeal cancer were selected in this study. All of the patients were given radical or functional neck dissection from January 2013 to January 2014. The patients were divided into 4 groups (20 in each group) based on the random table method. Four different approaches were adopted to expose the carotid sheathes of the patients for neck dissection. The patients were observed for chylous fistula, accessory nerve injury, exposure degree (VAS scores) and operation time. Results In this study, the complication rate was 15% in the group A, 5% in the group B, 10% in the group C and 5% in the group D. Two cases had abscission of accessory nerve in region V of the group D. The complication rate of the group A was significantly higher than that of the group B and the group D ( < 0.05). VAS scores from high to low were in the group D, C, A and B. VAS scores of regions II, III and IV in the group D and the group C were significantly higher than those of the group A and the group B ( < 0.05). Conclusions Surgical approach should be selected according to the condition. The crux of reduction of complications is to be familiar with the anatomy of the neck.关键词
颈淋巴结清扫术/解剖入路/乳糜漏/副神经损伤Key words
neck dissection/surgical approach/chylous fistula/accessory nerve injury分类
医药卫生引用本文复制引用
何剑,田勇泉,吴平,徐婧,张帅,康竞,罗昰,唐瑶云..颈淋巴结清扫术不同解剖入路发生乳糜瘘或副神经损伤的经验探讨[J].中国现代医学杂志,2017,27(2):110-112,3.
