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全喉切除一期颈淋巴结清除术
THE TOTAL LARYNGECTOMY AND THE CERVICAL LYMPHADENECTOMY AT THE SAME TIME
【摘要】 本文报道我科1982~1985年间行全喉切除一期颈淋巴结清除术9例,其中4例颈淋巴结肿大超过4cm,术后随访1~4年,8例目前仍健在。文中对手术适应症、切口、引流及预防性颈廓清等进行了讨论,认为:(1)切口以“T型”为佳;(2)不主张预防性颈廓清;(3)引流分两个系统,以多孔硅橡胶管下接负压引流瓶为好。
【Abstract】 The total laryngectomy and the cervical lymphadenectomy at the same time were Performed in 9 cases in our department from 1982 to 1985, Among them were 4 cases with more than 4cm of the lymphadenovarix. The duration of follow-up was from one to,four years. Eight of them are still living and well The present study is converned with operation indications,the cut, the drainage and the Preventive cervical lymphadenec-tomy We regard; (1)The cut correlates well with type. ( 2 ) The Pre-vertive cervical lymphadenectomy is unadvisable. (3)The drainage consists of two systems with the underness Porous silica gel tube connect is with a negative pressure dvainage bottle leading to better results
【Key words】 cervical lymphadencetem; preventive cervical lymphadenectomy; total laryngectomy; carcinoma of larynx;
- 【文献出处】 蚌埠医学院学报 ,Journal of Bengbu Medical College , 编辑部邮箱 ,1988年01期
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