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颈淋巴清扫术是治疗头颈癌清除癌瘤自颈部淋巴引流区扩散的有效方法。由于此术切除胸锁乳突肌并剖开颈动脉鞘,术后颈动脉仅为一层皮瓣复盖,如切口阻断皮瓣的血液供给较多,特别是高龄、全身情况不良、术前颈部放射和手术区与口咽相通的患者,容易发生切口并发症,如皮瓣感染、坏死、瘘管形成以致颈动脉暴露破裂的危险。
Cervical lymphadenectomy is an effective method for the treatment of head and neck cancer removal of cancer from the lymphatic drainage area of the neck. Because this operation resection of the sternocleidomastoid muscle and dissection of the carotid sheath, the carotid artery is only a layer of flap covering, such as incision to block the flap blood supply more, especially the elderly, the general condition is poor, surgery Patients with anterior neck radiotherapy and oropharyngeal surgery are prone to incisional complications such as skin flap infections, necrosis, and fistula formation that may lead to the risk of carotid artery rupture.