摘要
目的：介绍一种晚期舌癌术后复发侵犯高位颈动脉的外科治疗方法。方法：先行暴露颅外骨组织，用圆钻磨去１ｃｍ岩骨段（Ｃ５）。用Ｓｈｕｎｔ管行颈总一颈内动脉分流，肿瘤组织行扩大切除（肿瘤连同颈动脉切除），同时行大隐静脉移植重建颈动脉。最后用胸大肌带蒂肌皮瓣修复口内外组织缺损。结果：术后２周ＴＣＤ检查大脑前、中动脉的血流速度与术前相近，术后４周颈动脉Ｂ超显示血流通畅，术后随访未出现神经并发症。结论：该手术可行，而且安全，为该类被视为不治之症的患者提供了治愈的机会。
Objective:To introduce a new surgical method to reconstructe common carotid artery at higher position in late - staged recurrence of postoperative cancer of tongue. Methods: After surgical clear exposure of the bone tissue for exterior skull, the bony petrous sectin of carotid artery was drawn off. A by - pass was established by means of a shunt tube between common carotid artery and internal carotid artery. Extended tumor resection was carried out. Carotid artery was reconstructed by saphana magna vein transplantation. Compound tissue defects of oral maxillofacial regions were repaired through pedicle PMMF. Results: TCD examinations were performed for cerebral anterior artery and cerbral media artery before and after surgery. Blood circulation velocites shown were similar between 2 weeks post - operatively and that before operation. Four weeks after surgery, B typed supper - sonic image revealed fluent circulation of common carotid artery. No neurological complication occurred at follow-up. Conclusion: This surgical procedure is available and safe. It provides good chance for curing some late - staged malignant tumor cases with invasion of internal carotid artery.
出处
《中国临床医学》
2000年第3期268-269,共2页
Chinese Journal of Clinical Medicine
关键词
颈动脉切除
颈动脉重建
头颈部恶性肿瘤
Resection of common carotid artery Reconstruction of common carotid artery Malignant tumor
