摘要
目的：观察整块切除颈部晚期淋巴结转移癌侵及大血管及皮肤治疗晚期颈部转移癌的疗效。方法：应用颈外静脉重建颈内静脉，颈部组织缺损应用胸大肌皮瓣及斜方肌皮瓣修复。结果：应用颈外静脉重建颈内静脉３５例均成功；其中３例重建的颈内静脉发生血栓，再次应用头静脉重建。胸大肌皮瓣２６例及斜方肌皮瓣９例均成活。结论：彻底切除颈部晚期淋巴结转移癌侵及大血管，应用显微外科和肌皮瓣技术，一期重建颈部血管及组织缺损恢复功能是可行的。
Objective:The results of surgical treatment in advanced lymphatic metastatic cancer invading large blood vessel and skin were summarized.Method:Thirty-five patients(26 males and 9 females,ranging in age from 51 to 73 years old)with supglottic squamous cell carcinoma(T3N2M0 in 6,T4N 2M0 in 29)were treated by surgery of remove the internal jugular veins and reconstruction with external jugular veins.The defect of neck tissue was reconstructed by pectoral major muscle flaps(26 cases) or trapezius muscle flaps(9 cases).Results:The reconstruction of external jugular vein instead of internal jugular vein and muscle flaps repair the neck defect were successful in 35 cases.The survival rate of 1-year,3-year and 5-year was 85.7%(30/35),50.0%(9/18) and 44.0%(4/9) respectively.Conclusion:After resecting the advanced metastatic cancer invading large blood vessel and skin,the reconstruction of external jugular vein instead of internal jugular vein and the muscle flaps used to repair the neck defect should be beneficial to improve life quality of patients. [Chinese Arch Otolaryngol Head Neck Surg,2002;9(1):31～32 From the Department of Head and Neck Surgery,Cancer Hospital of Liaoning Province,Shenyang 110024(Dr.Xu Chengjun)]
出处
《耳鼻咽喉（头颈外科）》
2002年第1期31-32,共2页
Chinese Arch Otolaryngology-Head Neck Surg
