颈部无痕的舌癌颈淋巴清扫与游离皮瓣修复技术  

Neck dissection and free flap repair technique for tongue cancer without neck scar

作　　者：杨帆[1] 曹昶 孟莎莎 夏辉[1] 王晓毅[1] 张壮[1] 李春洁[1] 门乙[1] 朱桂全[1] YANG Fan;CAO Chang;MENG Shasha;XIA Hui;WANG Xiaoyi;ZHANG Zhuang;LI Chunjie;MEN Yi;ZHU Guiquan(State Key Laboratory of Oral Diseases&National Center for Stomatology&National Clinical Research Center for Oral Diseases,Department of Head and Neck Oncology,West China Hospital of Stomatology,Sichuan University,China,Chengdu 610041;Department of Oral and Maxillofacial Surgery,Pingdingshan First People's Hospital)

机构地区：[1]口腔疾病防治全国重点实验室,国家口腔医学中心,国家口腔疾病临床医学研究中心,四川大学华西口腔医院头颈肿瘤外科,成都610041 [2]平顶山市第一人民医院口腔科

出　　处：《实用口腔医学杂志》2024年第1期15-19,共5页Journal of Practical Stomatology

基　　金：四川省科技计划项目重点研发项目(编号:2021YFS0217);四川省自然科学基金(编号:2022NSFSC0681)。

摘　　要：颈淋巴清扫和修复重建是口腔癌治疗的两大重要内容。颈淋巴清扫和修复重建手术方法多种多样,但都是在开放手术下完成。该文报道一种经耳后发际入路完全腔镜下的颈淋巴清扫术;同期口内肿瘤根治性切除和经口原位血管吻合的旋髂浅动脉穿支皮瓣修复。颈淋巴清扫切口位于发际内,隐匿不可见,术后颈部无暴露性手术疤痕。现就这一术式作以介绍,并对其优缺点进行讨论。Neck dissection and reconstruction are two important aspects of oral cancer treatment.There are various surgical methods for neck dissection and reconstruction,but all of them are performed by open surgery.This article reports a full endoscopic neck dissection through the retroauricular hairline approach,the radical resection of the intraoral tumor and the repair of the defect by superficial circumflex iliac artery perforator flap with in situ vascular anastomosis intraorally.The incision is located in the hairline,hidden and invisible,and there is no exposed surgical scar on the neck after surgery.This paper introduces the technique of scarless neck dissection combined with free skin flap repair for the treatment of oral cancer and discusses its advantages and disadvantages.

关 键 词：口腔癌 腔镜 旋髂浅动脉穿支皮瓣 无痕 经口血管吻合 

分 类 号：R793.8[医药卫生—临床医学]