颈根部肿块的外科治疗(附26例报告)  

Surgery for mass at root of the neck——with 26 cases report

作　　者：张少强[1] 王林古[1] 李随勤[1] 

机构地区：[1]西安交通大学医学院第一附属医院耳鼻咽喉-头颈外科,西安710061

出　　处：《临床耳鼻咽喉头颈外科杂志》2011年第12期529-530,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：探讨颈根部肿块的外科治疗方法和疗效。方法：对26例颈根部肿块进行手术治疗,其中良性10例,恶性16例。根据病变的范围及性质采取＂T＂形及＂L＂形切口,必要时劈开锁骨,切除部分胸骨柄及胸锁关节。结果：10例良性肿块完整切除,其中术后发生乳糜瘘1例,喉返神经损伤1例;16例恶性肿瘤完整切除12例,部分切除4例。术中锁骨下静脉破裂2例,术后永久性臂丛损伤1例,纵隔气肿1例,气管瘘1例,膈神经损伤1例,术腔血肿2例。随访1~5年,良性组无复发及死亡患者,恶性组中术后存活5年者6例,3年者4例,2年者2例,余4例均在术后1年内死亡。结论：颈根部肿块的手术切除是可行的。此区的良性肿瘤手术治疗效果良好,恶性肿瘤手术后也有较好的效果。Objective：To investigate the surgical treatment of mass at root of the neck.Method：Twenty-six cases of mass in root of the neck,10 benign tumor and 16 malignancy.All the patients were received surgical treatment with ＂T＂ or ＂L＂ shaped incision,and cleidotomy or remove partial of presternum and articulationes sternoclavicularis when necessary.Result：All the benign tumor were removed completely,1 case with chylous leakage and 1 case with recurrent laryngeal nerve injury after operation.Twelve cases of malignant tumor removed completely and 4 cases underwent partially resection.Subclavian vein rupture occur in 2 cases during operation,and chylous leakage in 1 case,brachial plexus or phrenic nerve injury in 2 cases individually,1 case with mediastinal emphysema and 2 cases with hematoma.Follow up for 1 to more than 5 years.No patient died and relapsed in benign group.Six malignant cases survive for 5 years after operation,4 cases survive for more than 3 years,and 2 patients alive for 2 years.And the others were died within 1 year in malignancy group.Conclusion：Surgery for mass in root of the neck is feasible and with good effect for benign mass,and also is a way to treat the malignancy in this region.

关 键 词：颈根部 肿块 外科手术 

分 类 号：R653[医药卫生—外科学]