肿瘤侵犯颈动脉时的颈淋巴清扫术及相关处理  

Management of Neck dissection for carotid-involved cancer.

作　　者：徐普庆[1] 周顶斌[1] 邱椿林[1] 

机构地区：[1]常州市肿瘤医院头颈外科,江苏常州213001

出　　处：《现代肿瘤医学》2005年第5期653-654,共2页Journal of Modern Oncology

摘　　要：目的探讨肿瘤侵犯颈动脉时的颈淋巴结清扫手术方法。方法对3例头颈部恶性肿瘤晚期颈淋巴结转移颈动脉可能受侵患者,行颈动脉间断结扎术。结果间断结扎可有效促进对侧脑血管代偿形成,为进一步进行颈清扫手术提供安全保障。结论肿瘤侵犯颈动脉并非绝对手术禁区,先期采用颈动脉结扎等处理可取得较满意效果。Objective To explore the management of neck dissection for carotid - involved cancer. Methods Intermittent carotid ligation （ ICL ） was performed on 3 patients with carotid - involved cancer prior to neck dissection. Results ICL is effective for safe neck dissection by contralateral cerebrovascula compensation. Conclusion By the aid of advance carotid ligation, neck and head cancer with carotid involved will not be a absolute contraindication for operation .

关 键 词：颈动脉 结扎 颈淋巴结清扫术 恶性肿瘤 

分 类 号：R739.91[医药卫生—肿瘤]