侵犯颈椎的头颈部肿块15例外科治疗的临床分析  

Clinical Analysis of 15 Cases of Cervical Invasion of Head and Neck Tumors Treated with Surgery

作　　者：孙光炎 华清泉[1] 

机构地区：[1]武汉大学人民医院,430060 [2]湖北省汉川市人民医院,431600

出　　处：《实用癌症杂志》2016年第2期317-320,共4页The Practical Journal of Cancer

摘　　要：目的探讨侵犯颈椎的头颈部肿块的诊断与外科治疗。方法回顾性分析15例侵犯颈椎的头颈部肿块患者的临床资料,总结侵犯颈椎的头颈部肿块外科治疗的诊疗特点。结果 15例患者手术成功,术后临床症状明显缓解,3-6个月复查均未见复发,颈椎稳定性可。结论对于需行手术治疗的侵犯颈椎的头颈部肿块,临床上多以肿块颈外侧入路为主;同时要注意保护椎动脉、神经根和颈髓,术前要充分评估颈椎的稳定性,必要时重建和稳定颈椎,防止神经功能恶化。Objective To investigate the diagnosis and surgical treatment of cervical mass of the head and neck. Methods The clinical data of 15 cases of cervical mass were retrospectively analyzed,and the diagnosis and treatment of cervical lesions were summarized. Results 15 patients were operated successfully,the clinical symptoms were relieved obviously,and there was no recurrence in 3 to 6 months. Conclusion For operable head and neck tumor of the cervical mass,the cervical lateral approach is the most common in clinic,and the protection of vertebral artery,nerve root and spinal cord should be made. Before the surgery,the stability of cervical spine should be fully evaluated,and reconstruction and stabilization of cervical spine can prevent deterioration of neurological function.

关 键 词：颈椎 头颈部肿块 颈椎的稳定性 

分 类 号：R739.91[医药卫生—肿瘤]