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口腔癌颈淋巴联合根治术是目前口腔颌面外料最大型的手术,由于范围广、涉及许多神经,血管等重要解剖结构,且手术时间长,往往四个小时以上,因此对这种手术过去常规的选用全身麻醉,我院在广泛开展针麻的基础上对颈淋巴联合根治进行了针刺麻醉的尝试,初步取得了较为良好的效果。本组比例口腔癌颈淋巴联合根治术针麻的成功率为94％,优良率74％。临床资料一、一般情况: 本组比例口腔癌的患者以舌癌、颊癌、下颌骨癌、口底癌为主、此外尚有甲状腺癌,腮腺癌、上颌骨癌有淋巴转移者。因此除颈淋巴整块清除以外,还需要同时切除原发灶。二、麻醉方法:
Oral cancer combined with cervical lymphectomy is currently the largest type of surgery for oral and maxillofacial surgery. Due to its wide range, it involves many important anatomical structures such as nerves and blood vessels, and the operation time is long, often more than four hours. Therefore, the operation is past. General use of general anesthesia, our hospital on the basis of a wide range of acupuncture anesthesia for cervical lymph node joint anesthesia trials, preliminary achieved a relatively good results. The success rate of this group of oral cancer combined with cervical lymph node aspiration was 94%, and the excellent rate was 74%. Clinical data I. General conditions: The proportion of patients with oral cancer in this group was tongue cancer, cheek cancer, mandibular cancer, and floor-mouth cancer. In addition, there were thyroid cancers, and parotid gland cancer and maxillary bone cancer had lymph node metastasis. Therefore, in addition to the removal of the neck lymph mass, it is also necessary to remove the primary tumor at the same time. Second, anesthesia methods: