Evaluation of factors concerning the patency of the internal jugular vein after functional neck dissection
Evaluation of factors concerning the patency of the internal jugular vein after functional neck dissection
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功能性颈清扫术后颈内静脉通畅影响因素评价
DOI：
10.1007/s00405-002-0517-3
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发表时间：
2002
影响因子：
2.6
通讯作者：
K. Değer
中科院分区：
文献类型：
--
作者：
Emre A.Yucel;Serkan K. Orhan;Y. Guldiken;K. Aydin;Talat Simşek;Burak Erdamar;K. Değer
本研究旨在探讨功能性颈清扫术(FND)后多种因素对颈内静脉(IJV)通畅率的影响。应用双功能多普勒超声对21例(36例)颈淋巴清扫术前、后1个月、3个月的患者进行前瞻性临床研究。对接受放射治疗的患者在术后6个月再次进行评估，以评估放射治疗可能的远期效应。本组患者通畅率为100%，未发现血栓形成。但在瓦尔萨尔瓦的动作中和休息时的面积减少了，这种差异被发现在统计上是显著的。结论：FND后IJV通畅率维持在正常范围。放射治疗、感染或瘘管形成对通畅性无不良影响。此外，结扎的支数似乎与通畅率无关。
The aim of this study was to evaluate the effects of several factors on the patency of the internal jugular vein (IJV) after functional neck dissection (FND). A prospective clinical study was undertaken in 21 patients (36 neck dissections) before and after FND at the 1st and 3rd postoperative months by using duplex Doppler ultrasonography. The patients who had radiation therapy (RT) were evaluated again in the 6th postoperative month in order to assess possible late effects of radiation therapy. In our patients the patency rate was 100%, and no thrombosis was found. But the area at rest and during Valsalva's maneuver was reduced, and this difference was found to be statistically significant. It was concluded that the patency of the IJV remains normal after FND. Radiation therapy, infection or fistula formation have no detrimental effects on patency. In addition, the number of ligated branches do not seem to be related to the patency rate.