中国实用外科杂志
• 专题笔谈 • 上一篇 下一篇
王 宇,沈 强,渠 宁
出版日期:
发布日期:
Online:
Published:
摘要:
手术是分化型甲状腺癌颈淋巴结转移的首选治疗方法。由于甲状腺癌预后良好,因而在肿瘤根治的基础上对原有功能的保护愈发重要。颈淋巴结清扫术中易造成舌下神经、下颌缘支、副神经、迷走神经、颈交感神经、颈丛、臂丛等重要神经的损伤而引起术后相应症状,而正确的解剖认知、丰富的手术经验以及熟练的手术技巧是预防分化型甲状腺癌颈侧区淋巴结清扫术中神经损伤的关键。
关键词: 颈淋巴结清扫术, 神经损伤, 分化型甲状腺癌
Abstract:
Prevention of the nerve injury during the neck dissection for differentiated thyroid cancer WANG Yu, SHEN Qiang, QU Ning, et al. Department of Head & Neck Surgery, Fudan University Shanghai Cancer Center; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China Corresponding author:WANG Yu, E-mail:neck130@hotmail.com Abstract Surgery is the optimal treatment for differentiated thyroid cancer (DTC) with cervical lymph node metastasis.With knowing more about DTC and neck dissection,it appears increasingly important to protect the original function during the neck dissection for DTC to improve the quality of life. Neck dissection for DTC may cause the injury of nerve,including mandibular margin,accessory nerve,vagus nerve,cervical sympathetic nerve,cervical plexus and brachial plexus. Correct anatomical knowledge,extensive surgical experience and skillful surgical technique are the keys to prevent the nerve injury in the neck dissection of DTC.
Key words: neck dissection, nerve injury, differentiated thyroid cancer
王 宇,沈 强,渠 宁. 分化型甲状腺癌颈侧区淋巴结清扫术中神经损伤的预防[J]. 中国实用外科杂志, DOI: 10.19538/j.cjps.issn1005-2208.2018.06.09.
0 / 推荐
导出引用管理器 EndNote|Ris|BibTeX
链接本文: https://www.zgsyz.com/zgsywk/CN/10.19538/j.cjps.issn1005-2208.2018.06.09
https://www.zgsyz.com/zgsywk/CN/Y2018/V38/I06/624