头颈恶性肿瘤外科切缘原则概念及临床应用  

Concept and clinical application of surgical margin principle on head and neck cancers

作　　者：温树信[1,2] 王斌全 高伟[1] 张春明[1] 吴勇延[1] Wen Shuxin;Wang Binquan;Gao Wei;Zhang Chunming;Wu Yongyan(Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Shanxi Medical University,Taiyuan 030001,China;Department of Otorhinolaryngology Head and Neck Surgery,Shenzhen University General Hospital,Shenzhen 518055,China)

机构地区：[1]山西医科大学第一医院耳鼻咽喉头颈外科,太原030001 [2]深圳大学总医院耳鼻咽喉头颈外科,深圳518055

出　　处：《中华耳鼻咽喉头颈外科杂志》2019年第9期704-707,共4页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

摘　　要：外科切缘是头颈肿瘤外科原则中的核心内容,获得阴性的外科切缘从而根治肿瘤是头颈恶性肿瘤手术最主要的目的.本文梳理了头颈肿瘤外科切缘的临床应用现状,并从手术操作暴露肿瘤角度,提出头颈恶性肿瘤外科切缘可以分为表面切缘、深面切缘及组织界面切缘三种类型的外科切缘.这种切缘的分类可以使得头颈肿瘤外科切缘的临床应用与相关研究变得更为系统与清晰.Surgical margin principle is one of the central surgical principles for head and neck cancers. Negative surgical margin is the primary purpose of surgery for head and neck cancers. This paper is based on the current clinical application of surgical margins of head and neck cancers, and it is proposed that surgical margins of head and neck cancers may be classified into three types: surface margin, deep margin, and tissue interface margin in consideration of surgical exposure of tumors. The classification of surgical margins can make the clinical application and the research of surgical margins of head and neck cancers more systematic and clear.

关 键 词：头颈肿瘤 外科切缘 根治性手术 

分 类 号：R739.91[医药卫生—肿瘤]