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目的：探讨侵入颈内静脉孔转移性肿瘤的外科治疗方法。方法：4例喉癌和1例喉咽癌高位颈淋巴结转移并侵入颈内静脉孔的患者，施行高位颈淋巴结清扫术。结果：5例创口一期愈合，除1例口角左斜及张口困难外，未见其他手术并发症。随访1至5年，4例存活，1例术后3年半死于对测颈转移。结论：高位颈清扫术是治疗侵入颈内静脉孔转移性肿瘤的有效方法，而手术的关键是切除乳突及下颌骨部分升支，扩大乳实下颌间隙及颈内静脉孔。
Objective: To explore the surgical treatment of metastatic tumors that invade the internal jugular foramen. METHODS: High neck dissection was performed in 4 patients with laryngeal carcinoma and 1 with high cervical lymph node metastasis and invasion of the internal jugular foramen. RESULTS: In the 5 cases, the wound healed at one time. No operative complications were found except one case of left oblique and open mouth. After 1 to 5 years of follow-up, 4 patients survived, and 1 patient died of cervical metastasis at 3 and a half years after surgery. Conclusion: High neck dissection is an effective method for the treatment of metastatic tumors that invade the internal jugular foramen. The key to surgery is to remove the mastoid and the ascending branch of the mandible and enlarge the gap between the mandibular and the jugular vein.