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迷走神经分布广,功能复杂。既往对迷走神经的手术切除或损伤,非常重视。在颈部恶性肿瘤累及迷走神经时,不切除该神经,则影响肿瘤治疗的彻底性。为此,我们自1987年3月至1990年底,对6例晚期患者在颈部肿瘤根治术的同时切除迷走神经,经短期随访,效果满意,报告如下。一般资料本组6例中,男性2例,女性4例。其中涎腺癌术后复发2例,甲状腺癌1例,颈部转移癌2例,横纹肌肉瘤1例。最大年龄66岁,最小23岁。手术指征:一般情况好,其他脏器无器质性病变;无远处转移;有迷走神经受累症状,切除迷走神经有彻底根除肿瘤的可能;肿瘤根治后裸露的重要脏器有可靠的材料修复。
The vagus nerve is widely distributed and its functions are complex. In the past, surgical resection or injury to the vagus nerve was highly valued. In the case of cervical cancer involving the vagus nerve, the removal of the nerve does not affect the thoroughness of the treatment. For this reason, from March 1987 to the end of 1990, we removed vagus nerve in 6 cases of advanced patients at the same time as radical neck surgery. The results were satisfactory after short-term follow-up. The report is as follows. General Information In this group of 6 cases, there were 2 males and 4 females. Among them, 2 cases had recurrent adenocarcinoma, 1 had thyroid cancer, 2 had neck metastases, and 1 had rhabdomyosarcoma. The maximum age is 66 years and the minimum is 23 years old. Surgical indications: In general, there are no organic lesions in other organs; there is no distant metastasis; with vagal nerve involvement symptoms, removal of the vagus nerve may completely eradicate the tumor; the important organs exposed after radical resection are reliably repaired.