颈外静脉修复重建颊癌根治术后腮腺管的临床应用  

Reconstruction of parotid duct using autologuous vein graft after radical resection of buccal caner

作　　者：李文强 胡传宇 黄春明 周磊 黄平[1] LI Wenqiang;HU Chuan-yu;HUANG Chun-ming;ZHOU Lei;HUANG Ping(Department of Stomatology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院口腔医学中心,湖北武汉430030

出　　处：《临床口腔医学杂志》2022年第1期50-52,共3页Journal of Clinical Stomatology

摘　　要：目的:介绍应用颈外静脉移植修复重建腮腺管的临床效果。方法:选取2018年7月~2020年7月收治的颊癌根治术后腮腺管缺损者20例,均应用颈外静脉移植修复重建。观察术后愈合,有无涎漏以及腮腺导管口引流情况。结果:术后所有患者伤口I期愈合,均成功重建腮腺管缺损,分泌引流腮腺涎液,并替代原腮腺管缺损。结论:颈外静脉解剖恒定且表浅,切取容易,口径接近腮腺管,可作为自体静脉移植材料修复腮腺管,手术操作简便,疗效确切。Objective:To introduce the treatment and clinical result of reconstructing parotid duct with external jugular vein graft.Methods:From July 2018 to July 2020,20 cases of parotid duct defects after radical resection of buccal cancer were reconstructed with external jugular vein by microsurgical technique.The patients’generally condition of postoperative healing,salivary fistula and drainage of parotid duct were observed.Results:All cases achieved healing by the first intention.Parotid defects were reconstructed successfully.The secretion of saliva was well and continuous in every postoperative patient.Thus the external jugular veins took place of the parotid duct defects in all cases.Conclusion:External jugular vein is stable at anatomy and easy-to-obtain.Its caliber is close to that of parotid duct.It can be used for reconstructing parotid duct defects as vein autograft materials.The operation is easy and the clinical result is sure.

关 键 词：颈外静脉 移植 腮腺管缺损 修复重建 

分 类 号：R782.2[医药卫生—口腔医学]