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   胸锁乳突肌 在 肿瘤学 分类中 的翻译结果: 查询用时:0.018秒
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胸锁乳突肌
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  sternocleidomastoid
The proximal limb muscles, the sternocleidomastoid and anterior tibial muscles were affected.
      
Both patients had proximal weakness, pseudohypertrophy of sternocleidomastoid.
      
Rotating TS (72% of the patients) was due to dystonic activity of the splenius muscle ipsilateral to and/or the sternocleidomastoid muscle contralateral to the side of chin deviation.
      
Motoneurons of the spinal accessory nerve between C1 and C5 segments were labelled using wheat germ agglutinin-horseradish peroxidase (WGA-HRP) injected into the sternocleidomastoid muscles.
      
The sternocleidomastoid test: an in vivo assay to investigate botulinum toxin antibody formation in humans
      
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Five cases of branchial cysts examined by B-ultrasound are reported.The prin-ciple,method of examination and the interpretation of their sonographic charact-eristics are discussed briefly.Ultrasonography of branchial cysts shows low-levelechoes with dark and smooth margin.They all have strengthen effect of posteriorwall.Usually,they locatedat the anterior margin of the upper part of stenocl-eidomastoid muscle.The observation suggests that ultrasonographic examinationcan be a valuable aid in diagnosis of branchial...

Five cases of branchial cysts examined by B-ultrasound are reported.The prin-ciple,method of examination and the interpretation of their sonographic charact-eristics are discussed briefly.Ultrasonography of branchial cysts shows low-levelechoes with dark and smooth margin.They all have strengthen effect of posteriorwall.Usually,they locatedat the anterior margin of the upper part of stenocl-eidomastoid muscle.The observation suggests that ultrasonographic examinationcan be a valuable aid in diagnosis of branchial cysts.

本文简要介绍了 B 型超声的原理,报告了5例腮裂囊肿病人,介绍了检查方法和超声表现。腮裂囊肿的声象图特征为低回声,边缘光滑的暗区,均有后方增强效应,位于胸锁乳突肌上部前缘。认为 B 型超声对腮裂囊肿术前诊断、鉴别诊断和手术时参考了解与周围组织的关系均有一定价值。

A retrospective analysis of 203 consecutive cases with 209 functional neck dissec-tions from January 1961 to December 1981 was presented.Of them,153 operationswere prophylactic neck dissection and 56 operations were therapeutic neck dissection.Functional neck dissection was different from routine neck dissection in reservationof sternocleidomastoid muscle and/or internal jugular vein and/or accessory nerve.All of this three structures were reserved in 34% of the prophylactic procedure,andin 14.3% of the therapeutic...

A retrospective analysis of 203 consecutive cases with 209 functional neck dissec-tions from January 1961 to December 1981 was presented.Of them,153 operationswere prophylactic neck dissection and 56 operations were therapeutic neck dissection.Functional neck dissection was different from routine neck dissection in reservationof sternocleidomastoid muscle and/or internal jugular vein and/or accessory nerve.All of this three structures were reserved in 34% of the prophylactic procedure,andin 14.3% of the therapeutic procedure.Differentiated thyroid cancer,especially thepapillary adenocarcinoma of thyroid,including intraglandular and extraglandulartypes,often occurred in young females,and the metastatic rate of cervical lymphnodes was rather high.Any type of functional neck dissection,especially the “threereserving” operation could offer good function and better figure,and the prognosiswas as good as the routine neck dissection.

本文对我院1961年1月~1981年12月21年间收治的203例计209例次分化型甲状腺癌行功能性颈淋巴结清除术进行了回顾分析。其中预防性清除术153例次,侵出包膜者102例次。治疗性清除术56例次侵出包膜者31例次。预防性组三保留(保留胸锁乳突肌、颈内静脉及副神经)手术率占34%,而治疗性组三保留手术率仅占14.3%。可见预防性清除术不但根治彻底而且功能保留率较治疗性组高出一倍多。作者提出:分化型甲状腺癌患者多为年轻女性,颈淋巴结转移率高,对腺内型及腺外型甲状腺乳头状腺癌,建议行三保留的功能性淋巴结清除术。此种手术与传统的颈淋巴结清除术相比合并症少,术后功能良好,外观美,预后亦佳。

From May 1980 to April 1984 40 patients with pharyngeal defect after total laryngectomy were repaired by sternocleidomastoid muscle flap. There were 38m-ales and 2 females. Their ages ranged from 40-to 78-year old. The mean age 55.3. 38 cases were squamous cell carcinoma, 1 case was carcinoma in situ and 1 case was a adenocarcinoma. Clinical stages: 3 patients were" in stage Ⅰ, 4 patients in stage Ⅱ, 15 patients in stage Ⅲ, 18 patients in stage Ⅳ. Stage Ⅲ and Ⅳ acounted for 82.5%. Among them, there were 77.5%...

From May 1980 to April 1984 40 patients with pharyngeal defect after total laryngectomy were repaired by sternocleidomastoid muscle flap. There were 38m-ales and 2 females. Their ages ranged from 40-to 78-year old. The mean age 55.3. 38 cases were squamous cell carcinoma, 1 case was carcinoma in situ and 1 case was a adenocarcinoma. Clinical stages: 3 patients were" in stage Ⅰ, 4 patients in stage Ⅱ, 15 patients in stage Ⅲ, 18 patients in stage Ⅳ. Stage Ⅲ and Ⅳ acounted for 82.5%. Among them, there were 77.5% patients with history of radiotherapy or operation of reconstruction of the larynx .The mean doss of preoperative radiotherapy was 5694 cGy. Surgical technique: After total laryngectomy, the mucous menbrane of the pharynx was sutured with introversive suture. Half of the sternocleidomastoid muscle was cut at the junction of the middle and lower third. The muscle fiber was separated upward to the mastoid process, so as to made a pedicle muscle flap, which adhered to mastoid process. The m-uscle flap was sutured to pharynx and to sternocleidomastoid muscle of opposite side. This flap plays the reinforce role in the suture of the pharynx. After operation the incidence of pharyngeal fistula for total laryngectomy alone was 0 % . The incidence of pharyngeal fistula for those with preoperative radiotherapy was 0 % . The overall incidence of the pharyngeal fistula for all patients was 5%. The 3-, 5-year survival rate were 82. 5% and 62.5%, respectively.The authors believe that this method was simple, safe and reliable for the patients with preoperative radiotherapy.

1980年起我们试用胸锁乳突肌瓣来修复喉癌全喉切除术后咽部缺损共40例。其中男38例,女2例,年龄最大78岁,最小40岁,平均55.3岁。鳞状上皮癌38例,原位癌和鳞化腺癌各7例。Ⅰ期3例,Ⅱ期4例,Ⅲ期15例,Ⅳ期18例,ⅢⅣ期共占82.5%。其中77.5%有术前放射治疗史或属喉重建术的病例。术前放射剂量平均为5694cGy。具体做法是全喉摘除后,咽部粘膜作内翻缝合,在左或右侧胸锁乳突肌中、下1/3交界处或其下方横切肌纤维束的1/2,然后顺肌纤维向上分开使形成一条带蒂的肌肉瓣,最后将肌肉瓣缝合到咽部和对侧胸锁乳突肌上1/3处以衬托加固咽部缝合。术后结果:总的咽瘘发生率为5%,3、5年生存率分别为82.5%和62.5%,而单纯全喉切除术而不做喉重建术的病例组和放射治疗后做全喉切除术的病例组均无咽瘘发生。 作者认为此方法最适宜于放射治疗后再手术的病例,方法简单可靠。

 
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