口腔鳞癌颈淋巴清扫术并发症的临床分析

doi:10.3969/j.issn.1005-4979.2014.04.011

《口腔颌面外科杂志》 ›› 2014, Vol. 24 ›› Issue (4): 297-. doi: 10.3969/j.issn.1005-4979.2014.04.011

口腔鳞癌颈淋巴清扫术并发症的临床分析

白岫峰，许哲，李全雁，阿里木江·吾守，郑军，李刚，屠军波，常晓峰

西安交通大学医学院附属口腔医院口腔颌面外科，陕西西安 710004

出版日期:2014-08-28 发布日期:2021-11-04
通讯作者: 常晓峰，主任医师. E-mail:changxf@mail.xjtu.edu.cn
作者简介:白岫峰（1969—），男，满族，陕西人，主治医师. E-mail:goodsure001@gmail.com
基金资助:
陕西省科学技术研究发展计划项目（2011K12-51）；中央高校基本科研业务费专项资金(XJJ2013061)

Clinical Complications of Modified Schobinger Incision in Neck Dissection

BAI Xiu-feng, XU Zhe, LI Quan-yan, Alimujiang·Wushou, ZHENG Jun, LI Gang, TU Jun-bo, CHANG Xiao-feng

Department of Oral and Maxillofacial Surgery, College and Hospital of Stomatology, Xi'an Jiaotong University, Xi'an 710004, Shaanxi Province, China

Online:2014-08-28 Published:2021-11-04

摘要/Abstract

摘要： 目的：探讨头颈部鳞癌以改良Schobinger切口行颈淋巴清扫术的术后并发症发病率及防治方法。方法：回顾性分析1994-01-01—2012-12-31期间收治的，原发口腔鳞状细胞癌（oral squamous cell carcinoma, OSCC）并采用改良Schobinger切口行颈淋巴清扫术的，429例患者临床资料，对其术后并发症进行回顾性分析总结。结果：429例患者术后并发症发生率为16.55% ,其中术后最常见的并发症是涎瘘（6.29%），其次为面神经下颌缘支神经损伤（3.96%）。围手术期无死亡病例，无重大神经、血管并发症发生。结论：基于本文统计数据分析，口腔鳞癌颈清术后的常见并发症为涎瘘（6.29%）和面神经下颌缘支神经损伤（3.96%）；改良Schobinger切口适用于口腔鳞癌颈淋巴结清扫术；围手术期采取预防措施可降低颈淋巴结清扫术的术后并发症发生。

关键词: 原发性口腔鳞癌； , 颈淋巴结清扫术； , 改良Schobinger切口； , 并发症

Abstract: Objectives: To analyze the incidence and preventive measures of complications of modified Schobinger incision in neck dissection(ND). Methods: From January 1994 to December 2012, 429 cases of ND in primary oral squamous cell carcinoma (OSCC) with modified Schobinger incision was performed and retrospectively reviewed. Results: Of the 429 cases, postoperative complications occurred in 71 cases (16.55%). The most common complication was salivary fistula (6.29%), followed by damage of facial nerve of mandibular branch (3.96%). There were no deaths and serious complications. Conclusion: Modified Schobinger incision is reliable and safe for ND in OSCC.

Key words: primary oral squamous cell carcinoma; , neck dissection; , modified Schobinger incision; , complications

中图分类号:

R739.81

白岫峰，许哲，李全雁，阿里木江·吾守，郑军，李刚，屠军波，常晓峰. 口腔鳞癌颈淋巴清扫术并发症的临床分析[J]. 《口腔颌面外科杂志》, 2014, 24(4): 297-.

BAI Xiu-feng, XU Zhe, LI Quan-yan, Alimujiang·Wushou, ZHENG Jun, LI Gang, TU Jun-bo, CHANG Xiao-feng. Clinical Complications of Modified Schobinger Incision in Neck Dissection[J]. 《Journal of Oral and Maxillofacial Surgery》, 2014, 24(4): 297-.

https://journal06.magtech.org.cn/Jweb_joms/CN/Y2014/V24/I4/297

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