论文部分内容阅读
目的 探讨对口腔鳞癌患者实施手术过程中合理展开前哨淋巴结冰冻切片的可行性?方法 将我院2015年2月至2020年2月收治的32例口腔鳞癌患者作为试验对象;在准备对患者进行手术过程中，在患者原发灶附近0.5cm左右位置，准备美蓝在患者正常黏膜下方进行注射，主要分4点展开，每一位置控制0.5mL左右剂量?之后针对淋巴引流主要区域加以了解，合理展开对应手术操作，完成切口制作后，将患者颈阔肌皮瓣翻开，针对患者颌下?颏下与胸锁乳突肌深面淋巴结，确保从浅至深寻找，针对蓝染者则判定其呈现出SLN的情况?之后通过冰冻病理“,”Objective To investigate the feasibility of reasonably deploying frozen slicing of sentinel lymph node in the operation of oral squamous cell carcinoma patients.Methods Thirty-two A total of patients with oral squamous cell carcinoma admitted to our hospital from February 2015 to February 2020 were selected as experimental subjects.In the process of preparing the patient for surgery，methylene blue was injected below the normal mucosa of the patient at a position about 0.5 cm near the patient\'s primary lesion.The injection was mainly carried out at 4 points，and about 0.5 mL dose was controlled at each position.After that，the main area of lymphatic drainage was understood，and corresponding surgical procedures were carried out reasonably.After the incision was made，the platysma myocutaneous flap was opened，and the lymph nodes on the deep surface of the submandibular，submental and sternocleidomastoid muscle of the patient were looked for from the shallow to the deep，and those with blue staining were judged to present SLN.After that，SLN examination was carried out reasonably through frozen pathological sections，and selective neck lymph node dissection and primary focal resection were reasonably performed on the patients through understanding the examination results.In addition，pathological examination was carried out reasonably according to routine procedures for neck lymph node dissection and SLN.Observe the final inspection results.Results For the 32 patients with oral squamous cell carcinoma admitted in this study，26 patients with sentinel lymph nodes (including 52 lymph nodes) were found to have manifested sentinel lymph nodes after the clinical application of methylene blue staining and the operation of staining identification and sentinel lymph node freezing biopsy.After continuous frozen sections were performed on the patients，10 patients showed sentinel lymph node carcinoma metastasis，including 16 patients in total.According to the routine pathological examination of the patients，and compared with the above results，the two showed consistency.Conclusion Lymph node metastasis of oral squamous carcinoma showing a transfer characteristics，step by step for sentinel lymph node in the operation，after reasonable test for diagnosis of clarity a guarantee that the follow-up according to pathological diagnosis to choose whether or not was cleaning the treatment for the patient，to clear operation range，showed significant value for clinical treatment.Sentinel lymph node effective application of frozen section method，the ability to make effective clear the lymph node metastasis in patients with oral squamous cell carcinomas，thus for analysis were performed fully guaranteed the smooth implementation of，eventually making oral squamous cell carcinomas were made the results of treatment was significantly increased，to improve the prognosis.