山东大学耳鼻喉眼学报 ›› 2019, Vol. 33 ›› Issue (2): 21-25.doi: 10.6040/j.issn.1673-3770.0.2019.071

• 专家笔谈 • 上一篇    下一篇

鼻咽癌外科治疗中的颈内动脉保护

王振霖*(),刘俊其   

  1. 首都医科大学宣武医院耳鼻咽喉头颈外科，北京 100053
  • 收稿日期:2019-02-20 出版日期:2019-03-20 发布日期:2019-03-28
  • 通讯作者: 王振霖 E-mail:wzl1812@163.com
  • 作者简介:王振霖，医学博士、博士后，主任医师，教授，博士生导师。首都医科大学宣武医院耳鼻咽喉头颈外科主任，首都医科大学耳鼻咽喉科学院副院长，首都医科大学慢性鼻炎和鼻窦炎临床诊疗与研究中心副主任。主要学术任职：中国医师协会耳鼻咽喉科医师分会委员、颅底外科学组副组长、青年委员会秘书长，中华医学会变态反应学分会鼻眼过敏性疾病学组委员，中国中西医结合学会耳鼻咽喉科专业委员会鼻颅底肿瘤及嗅觉专家委员会副主任委员，中国医疗保健国际交流促进会过敏科学分会常委，中国医学装备协会耳鼻咽喉头颈外科专业委员会委员，北京医学会耳鼻咽喉头颈外科分会委员，北京市中西医结合学会耳鼻咽喉头颈外科分会委员，美国耳鼻咽喉头颈外科协会会员，《中华耳鼻咽喉头颈外科杂志》《中国耳鼻咽喉颅底外科杂志》《中国耳鼻咽喉头颈外科杂志》等刊编委

Protection of the internal carotid artery during surgery for nasopharyngeal carcinoma

Zhenlin WANG*(),Junqi LIU   

  1. Department of Otolaryngology Head and Neck Surgery, Xuanwu Hospital Capital Medical University, Beijing 100053, China
  • Received:2019-02-20 Online:2019-03-20 Published:2019-03-28
  • Contact: Zhenlin WANG E-mail:wzl1812@163.com

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摘要：

颈内动脉出血是晚期鼻咽癌患者较常见、最为严重的并发症，致死致残率极高。颈内动脉出血可发生于术中、术后或者放疗后。预防和处理颈内动脉出血是影响晚期鼻咽癌患者生存期和生活质量的重要课题。总结近年来国内外相关文献，分享预防和处理颈内动脉出血的经验，同时探讨保护颈内动脉同时行鼻咽颅底扩大切除术的治疗方案。

关键词: 鼻咽肿瘤, 并发症, 颈内动脉出血

Abstract:

Internal carotid artery bleeding is a common complication during or after surgery for nasopharyngeal carcinoma and may result in hemiplegia or death. Internal carotid artery bleeding can also occur after radiotherapy. Prevention and management of this complication are of utmost importance for patient survival and quality of life. This article reviews the recent advances and reports our experience in the management of internal carotid artery bleeding. We also discuss the surgical options for extended resection of the tumor.

Key words: Nasopharyngeal neoplasms, Complications, Internal carotid artery bleeding

中图分类号: 

  • R765

表1

复发患者的手术疗效"

作者 发表年 例数 3年/5年
生存率(%)		 3年/5年
局控率(%)
邱前辉等[7] 2017 45 81.0/76.0
孙希才等[8] 2015 71 63.0/39.0 50.5/31.9
司勇锋等[9] 2010 46 -/72.0
Vlantis等[10] 2007 79 -/51.0 -/62.0
唐平章等[11] 2005 41 -/34.0
Wei等[12] 2003 109 -/54.0 -/69.0
King等[13] 2002 31 -/47.0 -/71.0
Hsu等[14] 2001 60 -/30.0 -/48.3
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