Patency of the internal jugular vein following modified radical neck dissection
Patency of the internal jugular vein following modified radical neck dissection
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改良根治性颈清扫术后颈内静脉的通畅
DOI：
10.1288/00005537-199407000-00011
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发表时间：
1994
期刊：
影响因子：
--
通讯作者：
A. Mancuso
中科院分区：
文献类型：
--
作者：
C. S. Cotter;S. Stringer;S. Landau;N. J. Cassisi;A. Mancuso
尽管改良根治性颈清扫术通常保留颈内静脉，但英文文献仅包含一项评估术后静脉通畅性的研究，仅包括13例患者。本研究旨在更好地确定改良根治性颈淋巴清扫术后颈内静脉的通畅性，并确定与静脉闭塞相关的因素。对69例接受79例静脉保留颈清扫术的患者进行了术前和术后计算机断层扫描或磁共振成像。术后68条静脉（86%）通畅。一项回顾性病历显示，颈部肌肉皮瓣或复发癌压迫与静脉闭塞有关。我们的结论是，颈内静脉是可能保持开放后，改良根治性颈淋巴结清扫术与静脉保留。
Although the internal jugular vein is commonly preserved in modified radical neck dissections, the English literature contains only a single study assessing postoperative vein patency including only 13 patients. The present study was instituted to better determine the patency of the internal jugular vein following modified radical neck dissection and to identify factors associated with venous occlusion. Preoperative and postoperative computed tomography or magnetic resonance imaging was performed on 69 patients undergoing 79 vein sparing neck dissections. Sixty‐eight veins (86%) were patent postoperatively. A retrospective chart review revealed that compression by either a musculocutaneous flap or recurrent carcinoma in the neck was associated with venous occlusion. We conclude that the internal jugular vein is likely to remain patent after modified radical neck dissection with vein preservation.