Zhang Shaoqiang, Wang Lingu, Li Suiqin
Department of Otolaryngology-Head and Neck Surgery, the First Affiliated Hospital of Medical School, Xi'an Jiaotong University, Xi'an, 710061, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 Jun;25(12):529-30.
To investigate the surgical treatment of mass at root of the neck.
Twenty-six cases of mass in root of the neck, 10 benign tumor and 16 malignancy. All the patients were received surgical treatment with "T" or "L" shaped incision, and cleidotomy or remove partial of presternum and articulationes sternoclavicularis when necessary.
All the benign tumor were removed completely, 1 case with chylous leakage and 1 case with recurrent laryngeal nerve injury after operation. Twelve cases of malignant tumor removed completely and 4 cases underwent partially resection. Subclavian vein rupture occur in 2 cases during operation, and chylous leakage in 1 case, brachial plexus or phrenic nerve injury in 2 cases individually, 1 case with mediastinal emphysema and 2 cases with hematoma. Follow up for 1 to more than 5 years. No patient died and relapsed in benign group. Six malignant cases survive for 5 years after operation,4 cases survive for more than 3 years,and 2 patients alive for 2 years. And the others were died within 1 year in malignancy group.
Surgery for mass in root of the neck is feasible and with good effect for benign mass,and also is a way to treat the malignancy in this region.
探讨颈部根部肿物的外科治疗方法。
26例颈部根部肿物患者，其中良性肿瘤10例，恶性肿瘤16例。所有患者均采用“T”形或“L”形切口行手术治疗，必要时行锁骨切开或切除部分胸骨及胸锁关节。
所有良性肿瘤均完整切除，术后1例出现乳糜漏，1例出现喉返神经损伤。12例恶性肿瘤完整切除，4例部分切除。术中2例发生锁骨下静脉破裂，1例出现乳糜漏，2例分别出现臂丛神经或膈神经损伤，1例出现纵隔气肿，2例出现血肿。随访1至5年以上。良性组无患者死亡及复发。6例恶性患者术后存活5年，4例存活3年以上，2例存活2年。恶性组其他患者均在1年内死亡。
颈部根部肿物手术治疗对良性肿物可行且效果良好，也是治疗该部位恶性肿瘤的一种方法。
