山东大学耳鼻喉眼学报 ›› 2008, Vol. 22 ›› Issue (6): 495-496.

• 论文 • 上一篇    下一篇

借鉴分区性颈清扫操作技术切除颈部非肿瘤病变13例

蔡谦,黄晓明,许耀东,彭解人,郑亿庆,关中,陈斌   

  1. 中山大学附属第二医院耳鼻咽喉科,广州  510120
  • 收稿日期:2008-08-08 修回日期:2008-10-08 出版日期:2008-12-16 发布日期:2008-12-16
  • 通讯作者: 蔡谦 caiq163@126. com
  • 作者简介:蔡谦,男,医学博士,主治医师,主要从事头颈肿瘤和鼾症的临床和基础研究。Email:caiq163@126. com

Selective neck dissection for reference in treating noncancerous diseases in the neck

 CAI Qian, HUANG Xiao-Ming, HU Yao-Dong, PENG Jie-Ren, ZHENG Yi-Qing, GUAN Zhong, CHEN Bin   

  1. Department of Otorhinolaryngology, Affiliated Second Hospital, Sun Yatsen University, Guangzhou 510120, China
  • Received:2008-08-08 Revised:2008-10-08 Online:2008-12-16 Published:2008-12-16

摘要:

目的探讨分区性颈清扫技术在颈部非肿瘤病例中的应用。方法借鉴分区性颈清扫技术对颈部非肿瘤病变进行切除,其中有脓肿型或溃疡型颈淋巴结核5例、复发鳃裂瘘管7例、颈部肿物经切取活检后形成囊肿1例。所有病例均采取整块切除病变组织。结果颈清扫技术有利于彻底清除与周围组织粘连紧密、分界欠清、范围较广、并且常规治疗效果欠佳的病变。本组病例未出现副神经和喉返神经损伤、切口愈合不良等并发症。术后随访5个月至2年均未见复发。结论参照分区性颈清术的手术技术处理复发型第2、3鳃裂瘘管和有脓肿(≥3cm)或瘘管形成的颈淋巴结核,可取得较好的临床疗效。

关键词: 分区性颈清扫;淋巴结结核;鳃裂瘘管;治疗结果

Abstract:

To investigate the effect of selective neck dissection (SND) in treating noncancerous neck diseases.  MethodsThirteen patients (5 abscess or ulcerlymphoid tuberculosis, 7 recurrent branchial fistula, 1 trachelophyma after biopsy) were treated by RND.  All pathologically abnormal tissues were completely dissected.  ResultsRND was good in removing the pathologically changes which were closely sticking to peripheral tissues with an indefinite boundary, widely distributed and had an undesired effect after conventional treatments.  No accessory nerve or laryngeal nerve injury adverse wound healing occurred in this present study.  Conclusion RND is effective in the treatment of recurrent second and third bronchial fistula, and abscessformed (>3cm) or fistulized lymphoid tuberculosis.

Key words: Selective neck dissection; Lymphoid tuberculosis; Bronchial fistula; Treatment outcome

中图分类号: 

  • R739. 6
No related articles found!
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!