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为探讨头颈部恶性肿瘤侵犯颈动脉的外科治疗，对5例喉癌或下咽癌颈淋巴结转移累及一侧颈动脉病人，术前经CT或B超检查，3例经术前体外颈动脉压迫训练合格后手术切除受累段颈总动脉，2例系术中损伤颈总动脉后紧急切除受累动脉，其中1例即刻行断端吻合，5例术中、术后均无明显脑缺血表现，3例术后随访2年以上健在，2例尚在随访中。表明有选择性地切除受累颈总动脉是可行的，但如条件允许，应尽可能行颈动脉重建。
To investigate the surgical treatment of head and neck malignancies invading the carotid artery, 5 cases of laryngeal or hypopharyngeal cancer with cervical metastasis involving one side of the carotid artery were examined by CT or B-ultrasound before operation. Surgical resection of the affected common carotid artery was performed after compression training. In 2 cases, the affected artery was urgently resected after intraoperative common carotid artery injury. One patient underwent immediate end-to-end anastomosis. Five patients had no significant cerebral ischemia during and after operation. Three patients were followed up for more than 2 years after the operation and 2 were still followed up. It shows that selective removal of the common carotid artery is feasible, but if possible, the carotid artery reconstruction should be performed as much as possible.