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迷走神经在颈部的走行比较恒定,变异较少。笔者在行颈部扩清术中,发现迷走神经在颈部走行变异一例。为积累资料,供临床参考,报道如下。 患者男性53岁,因患腭部粘液表皮样癌并颈淋巴结转移住院治疗,在行颈部扩清术中发现:左侧迷走神经在颈动脉分叉处上方约3cm处,从颈内动脉的前外侧下行,经颈动脉窦的外侧逐渐移向颈总动脉的前方,于颈动脉窦与锁骨之间中点处,跨过颈总动脉前面中线,逐渐偏行于颈总动脉的前内侧进入胸腔(见附图)。在手术过程中,颈内静脉及舌下神经降
Vagal walk in the neck is relatively constant, less variation. In the line of neck dissection, I found a case of vagus nerve in the neck walking mutation. For the accumulation of data for clinical reference, reported below. Male 53 years old, suffering from palatal mucoepidermoid carcinoma and cervical lymph node metastasis hospitalized in the neck dissection found: the left vagus nerve in the carotid artery bifurcation at about 3cm above the carotid artery from the front Outside the lower part of the carotid sinus gradually moved to the outside of the front of the common carotid artery at the midpoint between the carotid sinus and the collarbone, across the carotid artery in the front midline, and gradually offset in front of the common carotid artery into the chest (see Attachment). In the course of surgery, jugular vein and hypoglossal nerve