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通常在行颌下腺切除术中,为防止大出血都结扎面动、静脉,并载入医疗护理技术操作常规。笔者认为,若能用心分离,保存此血管是可行的,现报告20例如下。 20例患者:男12例,女8例,年龄19～54岁;左侧9例,右侧11万例;属慢性炎症13例,腺体内结石4例,混合瘤3例。均在局部麻醉下,行下颌骨下缘常规切口,切开皮肤和颈阔肌,注意保护面神经下颌缘枝;切开深筋膜(该膜在此处构成颌下腺之外被膜),露出颌下-腺,围绕腺体四周游离,在腺体后缘仔细找出面动脉
Often submandibular gland resection, in order to prevent bleeding are ligation of facial and vein, and loaded into the medical care technology operation routine. I believe that if the heart can be separated, save the blood vessels is feasible, the report is now 20 cases. 20 patients: 12 males and 8 females, aged 19 to 54 years old; left 9 cases, right 110 000 cases; is a chronic inflammation in 13 cases, 4 cases of gland stones, mixed tumor in 3 cases. Under local anesthesia, the mandibular lower edge of the conventional incision, incision of the skin and platysma, pay attention to protect the facial nerve mandibular branch; cut deep fascia (the film here constitutes the submandibular gland film), revealing submandibular - Gland, around the gland around the free, carefully found in the posterior surface of the gland artery