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舌根部、咽后或咽侧壁的良、恶性肿瘤,临床并不少见,有些病例可以作局部手术切除。我科自1977年以来,共收治9例,手术均在气管切开全麻下进行(以下举例不重述),作者体会其中对手术进路选择至关重要,现分别举例加以讨论。正中进路:即作一唇正中至舌骨平面纵形切开,在(?)间截骨,沿中线切开口底和舌进入咽腔,本组病例没有选用。口腔进路:直接通过口腔,深入至舌根,咽腔部进行手术,因距离较深远,视野不清,操作难度较大。如果掌握了远距离手术操作技巧,备有合适的器械,对咽、舌根表浅高位的肿瘤,可选择口腔进路。例1:住院号16669,戴×,女,62岁。吞咽障碍2
Tongue root, pharynx or pharyngeal wall of benign and malignant tumors, clinical is not uncommon, some cases can be used for local surgical resection. Since 1977, our department has received a total of 9 cases, the surgery was carried out under general anesthesia tracheotomy (the following example does not restate), the author of the surgical procedures which the choice of which is essential, are now discussed separately. The middle of the road: that as a lip to the vertical plane of the hyoid bone incision, osteotomy (?), Along the midline incision and tongue into the pharynx, the group did not choose. Oral approach: directly through the mouth, deep into the base of the tongue, pharyngeal Department for surgery, due to the more far-reaching, blurred vision, the operation more difficult. If you master the long-range surgical skills, with appropriate equipment, the pharynx, tongue superficial tumor, choose oral approach. Example 1: Hospitalization number 16669, wearing x, female, 62 years old. Swallowing disorders 2