切除颈动脉手术治疗累及颈动脉系统的颈部恶性肿瘤  

CAROTID RESECTION FOR ADVANCED MALIGNANT HEAD NECK NEOPLASMS

作　　者：潘新良[1] 栾信庸[1] 关方霞[1] 许凤雷[1] 张立强[1] 刘大昱[1] 雷大鹏[1] 

机构地区：[1]山东医科大学附属医院

出　　处：《耳鼻喉学报》1999年第1期27-29,共3页

摘　　要：晚期头颈部肿瘤累及颈动脉系统，临床处理困难，手术切除肿瘤及受累的颈动脉并发症多，死亡率高。作者对８例９侧（其中１例不同期结扎双侧颈动脉）颈动脉行结扎切除术。８例中３例出现颅内并发症，１例住院期间死亡，平均生存时间为１５个月，１例生存超过３年。８例中，５例为喉癌，２例为下咽癌，１例为甲状腺癌。To evaluate the carotid resection for advanced malignant head neck neoplasms, 8 cases with 9 sides,including 1 case of bilateral carotid ligation in different stags,accepted carotid resection in 5 cases of laryngeal carcinoma,3 cases of larygo pharyngeal carcinoma and 1 case of thyroid cacinoma. Intracranial complications occurred in 3 patients,and 1 patient died.The average survival time was 15 months.1 case survived 3 years after operation.The mortal causes were local recurration(5 cases)and distal metasistasis(l case).The result shows that carotid resection could be used for advanced malignant head neck neoplasms.

关 键 词：头颈部肿瘤 颈动脉切除术 颈动脉 

分 类 号：R739.910.5[医药卫生—肿瘤] R732.21[医药卫生—临床医学]