口腔鳞癌颈淋巴清扫术并发症的临床分析  

Clinical Complications of Modified Schobinger Incision in Neck Dissection

作　　者：白岫峰[1] 许哲[1] 李全雁[1] 阿里木江.吾守 郑军[1] 李刚[1] 屠军波[1] 常晓峰[1] 

机构地区：[1]西安交通大学医学院附属口腔医院口腔颌面外科,陕西西安710004

出　　处：《口腔颌面外科杂志》2014年第4期297-301,共5页Journal of Oral and Maxillofacial Surgery

基　　金：陕西省科学技术研究发展计划项目(2011K12-51);中央高校基本科研业务费专项资金(XJJ2013061)

摘　　要：目的:探讨头颈部鳞癌以改良Schobinger切口行颈淋巴清扫术的术后并发症发病率及防治方法。方法:回顾性分析1994-01-01—2012-12-31期间收治的,原发口腔鳞状细胞癌(oral squamous cell carcinoma,OSCC)并采用改良Schobinger切口行颈淋巴清扫术的,429例患者临床资料,对其术后并发症进行回顾性分析总结。结果:429例患者术后并发症发生率为16.55%,其中术后最常见的并发症是涎瘘(6.29%),其次为面神经下颌缘支神经损伤(3.96%)。围手术期无死亡病例,无重大神经、血管并发症发生。结论:基于本文统计数据分析,口腔鳞癌颈清术后的常见并发症为涎瘘(6.29%)和面神经下颌缘支神经损伤(3.96%);改良Schobinger切口适用于口腔鳞癌颈淋巴结清扫术;围手术期采取预防措施可降低颈淋巴结清扫术的术后并发症发生。Objectives： To analyze the incidence and preventive measures of complications of modified Schobinger incision in neck dissection （ND）. Methods： From January 1994 to December 2012, 429 cases of ND in primary oral squamous cell carcinoma （OSCC） with modified Schobinger incision was performed and retrospectively reviewed. Results： Of the 429 cases, postoperative complications occurred in 71 cases （16.55%）. The most common complication was salivary fistula （6.29%）, followed by damage of facial nerve of mandibular branch （3.96%）. There were no deaths and serious complications. Conclusion： Modified Schobinger incision is reliable and safe for ND in OSCC.

关 键 词：原发性口腔鳞癌 颈淋巴结清扫术 改良Schobinger切口 并发症 

分 类 号：R739.81[医药卫生—肿瘤]