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颈外动脉分枝的解剖变异常出现,但本例所见的变异极大,报告如下:患者乌布力卡生,男,30岁,维吾尔族。以右面部可回缩肿物30年求治收住入院。诊断为:右面部海绵状血管瘤。治疗计划分三步进行,先做右侧颈外动脉结扎术,再行局部大剂量硬化剂治疗,后手术切除。以求彻底切除并减少出血。1979年6月2日在局麻下行右颈外动脉结扎术,按正常颈总动脉分叉处,在右胸锁乳突肌前缘中点,平甲状软骨水平处做斜形切口并直达颈总动脉处,当用手指触及到颈动脉有力跳动时,仔细分离,明显见到一粗大的颈动脉跳动,形若小拇指粗,但未见到颈总动脉分叉,且从该动脉向前分出一小支动脉,经手术分离寻找其延伸到甲状腺上极,余未见有其他分枝。即认为是解剖形态变异现
The anatomy of the external carotid artery branches abnormally, but the variation seen in this case is very large. The report is as follows: Patient Uka Rika, male, 30 years old, Uygur. The right facial retractable mass can be admitted to hospital for 30 years. Diagnosis: right facial cavernous hemangioma. The treatment plan was divided into three steps. The first external carotid artery ligation was performed first, followed by local high-dose sclerosing agent treatment and subsequent surgical resection. In order to completely remove and reduce bleeding. On June 2, 1979, under the local anesthesia, the right external carotid artery ligation was performed. According to the bifurcation of the common carotid artery, a diagonal incision was made at the level of the right sternomastoid muscle anterior edge of the right sternocleidomastoid cartilage and reached the neck directly. At the common artery, when the finger touched the carotid artery, it was carefully separated and a thick carotid artery was clearly visible. If the little finger was thick, no common carotid artery bifurcation was seen and the artery was divided forward. A small branch of arteries was isolated and surgically separated to find its extension to the upper thyroid gland. There were no other branches. I.e. anatomical variation