摘要
目的:探讨颈动脉重建术在晚期头颈部恶性肿瘤侵犯颈动脉治疗中的应用前景。方法:应用聚四氟乙烯(膨体PTFE)人工血管移植术治疗2例声门上型喉癌颈部淋巴结转移侵犯颈总、颈内动脉患者,术中切除颈总、颈内动脉,一期人工血管移植颈动脉重建。结果:2例术后创口Ⅰ期愈合,无颅脑并发症;彩色多普勒检查显示人工血管血流通畅。分别于2年及3年后死亡。结论:人工血管颈动脉重建术治疗累及颈动脉的晚期恶性肿瘤,能完整切除肿瘤并避免因切除颈动脉引起的暂时或永久性中枢神经系统并发症。
Objective：lo investigate the application of arteria reconstruction in the therapy of the carotid artery involoved with advanced head and neck cancer. Method：The artificial blood vessel made of polytetrafluoroethylene （PTFE） was used in two patients with supraglottic carcinoma to reconstruct the carotid artery. In the two cases, their common carotid artery and internal carotid artery involoved with metastatic lymph nodes, were resected before reconstruction. Result：The wound of two cases had grade I healing, no serious cranium-cerebrum complication occurred. The patency of the artificial blood vessel was observed by ultrasonograhy. The vessels were at good condition. Two patients died two and three years later. Conclusion zThe artificial blood vessel reconstruction for vascular demaged by head and neck cancer is safe and convenient in clinical pratice. At the same time, it is an alternative method to solve the deficiency of auto vessels in the body.
出处
《临床耳鼻咽喉科杂志》
CAS
CSCD
北大核心
2006年第6期257-258,共2页
Journal of Clinical Otorhinolaryngology
关键词
头颈部肿瘤
颈动脉
动脉重建术
Head and neck neoplasms
Carotid arteries
Reconstruction
