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本文报告我院自1979年以来采用横行舌骨上进路(横行咽切开术的手术进路)治疗舌根部肿瘤的一点体会。手术方法经鼻腔插管全麻,若插管困难可先行气管切开术。以两侧舌骨大角为起止点,沿舌骨体表投影设计一弧形切口.长约6～8cm,根据具体情况可向两侧下颌角或胸锁乳突肌前缘延长。分层切开皮肤,皮下组织、颈阔肌、颈深筋膜浅层,结扎颈前静脉,向上下翻瓣。在舌骨小角处切断二腹肌中间腱和茎突舌骨肌,或分离二腹肌中间腱在舌骨的附着。于中线处,
This article reports from our hospital since 1979, the use of transverse hyoid bone approach (transverse pharyngectomy surgery approach) treatment of tongue root tumor experience. Surgical methods of nasal intubation general anesthesia, if intubation difficulties can be tracheotomy. With both sides of the high angle of the hyoid bone as the starting point, the projection along the hyoid bone design a curved incision about 6 ~ 8cm, according to the specific situation can be extended to both sides of the mandibular angle or sternocleidomastoid front. Stratified cut the skin, subcutaneous tissue, platysma, neck fascia shallow, ligature of the anterior cervical vein, flap up and down. Cut off the middle tendon and stylohyoid muscle of the diaphragmatic muscle at the small angle of the hyoid bone or separate the attachment of the middle tendon of the abdominal muscle to the hyoid bone. At the midline,