Veyseller Bayram, Aksoy Fadlullah, Açikalin Murat, Yildirim Yavuz Selim, Ivgin Bayraktar Fatma Gülüm, Demirhan Hasan
Department of Otolaryngology, Haseki Training and Research Hospital, Istanbul, Turkey.
Kulak Burun Bogaz Ihtis Derg. 2010 Jan-Feb;20(1):38-43.
The purpose of this study was to assess the patency of the internal jugular vein after functional neck dissection.
Twenty-five patients (6 females, 19 males; mean age 53.9 years; range 30 to 71 years) who were operated on because of larynx, hypopharynx and intraoral cavity tumors in the Ear, Nose and Throat Clinic of Haseki Training and Research Hospital between January 2001 and March 2003 were included in the study. Internal jugular veins were evaluated after 42 functional neck dissections. By means of power duplex Doppler ultrasonography, the jugular blood flow, presence or absence of a thrombus, diameter of the vein, velocity of the blood flow were evaluated.
In our study the internal jugular vein patency rate was found to be 95.2%, and thrombosis was detected only in two patients. Blood flow velocity in patients with thrombus was found to be significantly lower than that observed in patients without thrombus (p<0.05).
It was observed that blood flow of the internal jugular vein was ensured in most patients after functional neck dissection.
本研究旨在评估功能性颈清扫术后颈内静脉的通畅情况。
纳入2001年1月至2003年3月在哈塞基培训与研究医院耳鼻喉科因喉、下咽及口腔肿瘤接受手术的25例患者（6例女性，19例男性；平均年龄53.9岁；范围30至71岁）。在42例功能性颈清扫术后评估颈内静脉。通过功率双功能多普勒超声评估颈静脉血流、有无血栓、静脉直径、血流速度。
在我们的研究中，颈内静脉通畅率为95.2%，仅在2例患者中检测到血栓形成。发现有血栓患者的血流速度明显低于无血栓患者（p<0.05）。
观察到大多数患者在功能性颈清扫术后颈内静脉血流得到保证。
