| 中上段食管癌颈胸腹三切口暴露喉返神经的意义 |
| 投稿时间：2010-03-24 修订日期：2010-05-28 点此下载全文 |
| 引用本文：张荣新,纪小奇,王圣应,张晖,朱金海,董慧明,王子岩,姚庭敬.中上段食管癌颈胸腹三切口暴露喉返神经的意义[J].医学研究杂志,2010,39(8):90-92 |
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| 中文摘要:目的探讨在中上段食管癌颈胸腹三切口手术中暴露喉返神经的意义。方法将92例中上段食管癌颈胸腹三切口手术病例分为两组:A组45例，右颈吻合，术中不暴露喉返神经；B组47例，左颈吻合，在术中暴露喉返神经并加以保护，并清扫喉返神经旁淋巴结。结果A组喉返神经损伤9例（20.0%），B组喉返神经损伤2例（4.3%），两组比较有统计学差异（P＜005）；颈部加上纵隔清除淋巴结个数A组为3.7±0.6个，B组为11.4±1.1个, 两组比较有统计学差异（P＜0.05）。结论在中上段食管癌三切口手术时，建议采取左颈吻合，术中暴露喉返神经，既可以降低喉返神经损伤的发生率，又有利于清扫喉返神经旁淋巴结。 |
| 中文关键词:食管癌 手术 三野淋巴结清扫 喉返神经 |
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| The Significance of Exposing the Recurrent Laryngeal Nerve in Three Fields Lymphadenectomy (3-FL) of Upper or Middle Esophageal Carcinoma Patients |
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| Abstract:ObjectiveTo explore the significance of exposing the recurrent laryngeal nerve in three fields lymphadenectomy of upper or middle esophageal carcinoma patients. MethodsNinety-two cases were divided into 2 groups randomly. Group A (45cases) performed anastomosis at right neck, while recurrent laryngeal nerve was not exposed intraoperative.group B (47 cases) performed anastomosis at left lymph node besides recurrent laryngeal nerve was dissected. Results9 cases (20.0%) were injuried in group A, while 2 cases (4.3%) in group B. The number of lymph node dissection including cervical and mediastinal (group A) was 3.7±0.6,while group B was 11.4 ± 1.1. There was statistically difference (P<0.05) between the two groups. ConclusionIt is recommended to take three fields lymphadenectomy (3-FL) in upper or middle esophageal carcinoma patients with left cervical anastomosis and expose the recurrent laryngeal nerve, which not only can reduce the incidence of recurrent laryngeal nerve injury incidence intraoperative, but also benefit lymph node dissection besides the recurrent laryngeal nerve. |
| keywords:Esophageal carcinoma Operational therapy Three fields lymphadenectomy (3-FL) Recurrent laryngeal nerve |
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