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颈部清扫术后的反射性交感神经营养不良

Reflex sympathetic dystrophy following neck dissections.

作者信息

Kiroğlu M M, Sarpel T, Ozberk P, Soylu L, Cetik F, Aydoğan L B

机构信息

Department of Otolaryngology, University of Cukurova School of Medicine, Balcali, Turkey.

出版信息

Am J Otolaryngol. 1997 Mar-Apr;18(2):103-6. doi: 10.1016/s0196-0709(97)90096-x.

Abstract

PURPOSE

Reflex sympathetic dystrophy (RSD), which is a disorder that occurs after injury or surgery on the extremities, has not been reported as a complication of neck dissections until now. A group patients with head and neck cancer have been examined to determine the incidence of RSD in neck dissections.

PATIENTS AND METHODS

Forty-six patients with head and neck cancer, who had undergone neck dissections together with the removal of the primary tumor, were evaluated for RSD on their routine controls.

RESULT AND CONCLUSION

The presentation of RSD in two patients who were treated with radical neck dissection is probably a result of sympathetic hyperactivity that is secondary to surgical trauma.

摘要

目的

反射性交感神经营养不良(RSD)是一种在四肢受伤或手术后发生的疾病,迄今为止尚未有作为颈部清扫术并发症的报道。对一组头颈癌患者进行了检查,以确定颈部清扫术中RSD的发生率。

患者与方法

46例接受颈部清扫术并同时切除原发肿瘤的头颈癌患者,在其常规检查中接受了RSD评估。

结果与结论

两名接受根治性颈部清扫术治疗的患者出现RSD,可能是手术创伤继发交感神经过度活跃的结果。

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