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作者报告9例(10次)手术的经验,所有病例均系颈淋巴清扫及放疗后颈部复发者,病灶固定并侵及颈动脉。手术方式:切除颈部病灶及颈动脉,即刻行动脉重建。血管移植物采用自体大隐静脉5例(6次),人造血管(Gere-Tex)3例,另1例因颈动脉切除不多,直接吻合。血管吻合所选择的动脉:锁骨下动脉5例,腋动脉1例,颈总动脉近心端3例。此外,5例同时行胸大肌皮瓣修复皮肤或咽部粘膜缺损。结果:1例偏瘫,1例暂时性偏瘫,无手术死亡,亦无感染及咽
The authors reported the experience of 9 cases (10 operations). All cases were neck resection and neck recurrence after radiotherapy. The lesions were fixed and invaded the carotid artery. Surgical methods: removal of cervical lesions and carotid artery, immediate revascularization. Vascular autografts used autologous great saphenous vein in 5 cases (6 times), artificial vascular (Gere-Tex) in 3 cases, the other 1 cases because of the lack of carotid artery resection, direct anastomosis. The arteries selected by vascular anastomosis were: 5 cases of subclavian artery, 1 case of radial artery, and 3 cases of proximal carotid artery. In addition, 5 cases of pectoralis major myocutaneous flap repair the skin or pharynx mucosal defect. Results: 1 case of paralysis, 1 case of temporary paralysis, no operative death, no infection and pharynx