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目的 :探讨头颈部恶性肿瘤侵犯颈动脉的手术治疗方法。方法 :对 4例颈动脉与转移瘤粘连患者 ,采用从颈动脉壁上剥离切除肿瘤保留血管的术式。结果 :术后 1周内 4例都发生了颈动脉破裂 ,1例经颈动脉修补术后再发血管破裂出血死亡 ,3例经行颈动脉结扎术后存活。结论 :对于肿瘤累及颈动脉的患者术前应作好结扎切除颈动脉的准备 ;术中若发现肿瘤与血管壁粘连 ,则应结扎血管连同肿瘤一并切除 ;一旦术后并发颈动脉破裂 ,则应结扎之 ,而不宜行修补术。
Objective: To investigate the surgical treatment of head and neck malignant tumor invading the carotid artery. Methods: 4 cases of carotid and metastatic tumor adhesion patients, using carotid artery dissection to remove the tumor to retain the vessel surgery. Results: Carotid artery rupture occurred in 4 cases within 1 week after operation. One case died of rupture of blood vessel after carotid artery repair. Three cases survived after carotid artery ligation. CONCLUSIONS: Patients with tumors involving the carotid artery should be prepared for ligation and resection of the carotid artery before surgery. If tumors and blood vessel wall adhesions are found during operation, the vessels should be resected together with the tumor. Once the carotid artery ruptures, Should be ligation, and should not be repaired.