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多功能保留性颈淋巴结清除术

Multifunctional conservative neck dissection for well-differentiated carcinoma of thyroid

  • 摘要: 分化型甲状腺癌疗效好,对早、中期的病人多施行功能性颈淋巴结清除术,即保留胸颈乳突肌、颈内静脉和副神经,这就是通常所说的"三保留"手术。作者在长期的工作实践中摸索出其它功能的保留方法并积累了一些经验。自1991年8月至1997年10月共行多功能保留的颈淋巴结清除术105例(3例为双侧颈清术)。除上述三保留以外的保留内容有耳大神经108例次,枕小神经41例次,颈横动脉58例次,颈外静脉10例次和锁骨上皮神经的斜方肌支7例次。术中重点介绍了各功能器官的保留方法和技巧并讨论了耳大神经和枕小神经的功能恢复时间及影响神经功能恢复的因素,为开展此项工作的朋友提供些经验。

     

    Abstract: The outcome of patients operated for well-differentiated carcinoma of thyroid is excellent.Most patients with Ⅰ to Ⅲ stage thyroid caner is generally performed for the functional neck dissection,which remained the sternocleidomastoid muscle,internal jugular vein and accessory nerve,socalled" tricon serves". Over a long period of practical work,the author has been trying out and accumulating the method and experience of conserved other organic functions.During the period from August 1991 to October 1997, a total of 105 patients with well-differentiated carcinoma of thyroid gland were underwent the multifunctional conservative neck dissection (3 of 105 patients were performed bilateral neck dissection). Besides remained the functions of traditional conservative dissection,we remained the great auricular nerve (108 cases), lesser occipital nerve (41 cases), transverse artery of neck(58 cases), external jugular vein (10 cases) and eapezius musclocutaneous of supraclvicular nerves (7 cases) in operations.Author laid special stress on describing the methods and trchniques that functions of each organic were remaind, and approacned a time limit and influential factors that functions of the great auricular and lesser occipital nerve recovered from operation.

     

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