检验医学与临床2018，Vol.15Issue(6)：782-784,788,4.DOI:10.3969/j.issn.1672-9455.2018.06.014
颈淋巴结清扫术中颈鞘及颈部重要神经的解剖与保护在颈淋巴结结核中的应用
Analysis on application of carotid sheath and neck important neural anatomy and protection during cervical lymph node dissection in cervical lymph node tuberculosis
许军利 1崔渊博 1陈其亮 1李军孝1
作者信息
- 1. 陕西省结核病防治院胸外科,西安710100
- 折叠
摘要
Abstract
Objective To analyze the application effect of carotid sheath and neck important nerves anato-my and protection during neck lymph node dissection in the cervical lymph node tuberculosis.Methods Eight-y-two cases of cervical lymph nodetuberculosis in this hospital from February 2014 to December 2015 were se-lected and divided into the observation group and control group according to the random number table method, 41 cases in each group.The control group was given the neck tuberculosis lesion clearance,while the observa-tion group adopted the neck lymph node dissection with carotid sheath and important nerve neck anatomy and protection.The postoperative neck function normalization rate,recurrence rate,good rate of incision healing, incision healing time,hospitalization stay time,occurrence rate of complications and quality of life were com-pared between the two groups.Results The postoperative neck function normalization rate and incision heal-ing good rate in the observation group were 100.00%(41/41)and 90.24%(37/41)respectively,which were higher than those in the control group;the recurrence rate in the observation group was 0(0/41),which was lower than 12.20%(5/41)in the control group,the differences all were statistically significant(P<0.05).The incision healing time and hospitalization stay time in the observation group were(6.3 ± 1.0)d and(11.2 ± 1.3) d respectively,which were lower than(8.2 ± 1.3)d and(17.5 ± 1.8)d in the control group,the differences were statistically significant(P<0.05).The incidence rate of postoperative complications in the observation group was 0(0/41),which was lower than 9.76%(4/41)in the control group,the difference was statistically significant(P<0.05).The postoperative living quality scores in the observation group were higher than those in the control group,the difference was statistically significant(P<0.05).Conclusion Application of the neck sheath and neck important nerves anatomy and protection durning neck lymph node dissection in cervical lymph node tuberculosis is conducive to promote patient to early recover,reduce the recurrence rate and com-plication occurrence rate,meanw hile improve the patient′s living quality.关键词
颈部/淋巴结结核/颈淋巴结清扫术/并发症/功能Key words
neck/lymph node tuberculosis/neck lymph node dissection/complications/function分类
医药卫生引用本文复制引用
许军利,崔渊博,陈其亮,李军孝..颈淋巴结清扫术中颈鞘及颈部重要神经的解剖与保护在颈淋巴结结核中的应用[J].检验医学与临床,2018,15(6):782-784,788,4.
