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例一:男、45岁,因左侧扁桃腺癌入院,术前行效疗和化疗.一个月后行左颈清扫术,扁桃体癌及部分软腭切除术.因迷走神经紧贴颈内静脉后壁粘连行走,结扎颈内静脉时、将预内静脉连同迷走神经一并结扎切断.发现后、即分离出迷走神经,重新结扎颈内静脉两断端,将迷走神经端端吻合、并用周围组织包绕缝合保护吻合处。分离切除颌下腺时、误认舌下神径与颌下腺导管而切断结扎、后仔细解剖方知系舌下神经、除行端端吻合,同样用周围肌肉组织包绕缝合保护神经吻合处、术后未出现任何舌下神经和迷走神经功能障碍现象,23天痊愈出院.
Example 1: Male, 45 years old, admitted to the hospital for left tonsil cancer, treated with chemotherapy and chemotherapy before surgery, and left-neck dissection, tonsil cancer and partial soft palate resection were performed one month later.As the vagus nerve clings to the posterior wall of the internal jugular vein Adhesions walk, ligation of the internal jugular vein, the pre-venous vein together with the vagus nerve ligation and cut off found that the vagus nerve was isolated and re-ligation of the two ends of the jugular vein, the vagus nerve end-to-end anastomosis, and surrounded by the surrounding tissue suture protection Anastomosis. Separation and removal of the submandibular gland, the sublingual pathology and submandibular gland duct misdated and cut off the ligation, carefully dissected to know the sublingual nerve, in addition to end-line anastomosis, the same with the surrounding muscle tissue suture protection neurological anastomosis, postoperative Any hypoglossal and vagal dysfunction occurred and was discharged after 23 days.