本文選題：頸淋巴結(jié)清掃術(shù) + 解剖入路�。� 參考：《中國現(xiàn)代醫(yī)學(xué)雜志》2017年02期

【摘要】：目的探討頸淋巴結(jié)清掃術(shù)不同解剖入路致乳糜瘺或副神經(jīng)損傷的比較。方法選擇中南大學(xué)湘雅醫(yī)院2013年1月-2014年1月行根治性和功能性頸淋巴結(jié)清掃術(shù)的下咽癌80例,采用數(shù)字表隨機(jī)法分為4組,每組20例,分別采用4種不同的手術(shù)入路進(jìn)行頸淋巴結(jié)清掃術(shù)暴露頸鞘,觀察患者頸淋巴結(jié)清掃術(shù)中乳糜瘺和副神經(jīng)損傷情況,暴露度及手術(shù)時間。結(jié)果 A組并發(fā)癥發(fā)生率為15%;B組為5%;C組為10%;D組為5%;D組在清掃Ⅴ區(qū)時發(fā)生2例副神經(jīng)切斷;A組并發(fā)癥發(fā)生率高于B組、D組(P0.05)。4組術(shù)野暴露評分由高到低依次是D組、C組、A組和B組。D組、C組Ⅱ、Ⅲ、Ⅳ區(qū)術(shù)野暴露評分高于A組、B組,D組、C組與A組、B組比較差異具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論根據(jù)病情選擇頸淋巴結(jié)清掃的手術(shù)入路,熟悉頸部解剖層次,是減少頸淋巴結(jié)清掃術(shù)并發(fā)癥發(fā)生的關(guān)鍵。
[Abstract]:Objective to investigate the comparison of chylous fistula and accessory nerve injury caused by different anatomical approaches of neck lymph node dissection. Methods 80 patients with hypopharyngeal carcinoma who underwent radical and functional neck lymph node dissection in Xiangya Hospital of Central South University from January 2013 to January 2014 were randomly divided into 4 groups with 20 cases in each group. The cervical sheath was exposed by four different surgical approaches. The conditions of chylous fistula and accessory nerve injury, the exposure degree and the operation time during neck lymph node dissection were observed. Results the incidence of complications in group A was 15: 5 in group B, 5 in group C, 10 in group D and 5 in group D during dissection of area 鈪，

本文編號：2021338