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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Preoperative permanent balloon occlusion of internal carotid artery in patients with advanced head and neck squamous cell carcinoma.
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Preoperative permanent balloon occlusion of internal carotid artery in patients with advanced head and neck squamous cell carcinoma.

机译：晚期头颈部鳞状细胞癌患者术前永久性阻塞颈内动脉。

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OBJECTIVE/HYPOTHESIS: To determine the value of preoperative balloon occlusion in predicting the safety of carotid artery resection in advanced recurrent head and neck squamous cell carcinoma. STUDY DESIGN: Retrospective chart review of all cases undergoing planned carotid artery resection for recurrent disease at a major university hospital. METHODS: If the carotid artery was encased, a nonemergent carotid artery balloon test occlusion was performed for 30 minutes. If the patient tolerated this, he or she underwent permanent carotid artery occlusion. RESULTS: Twenty-three patients were prospectively evaluated for resection. Three underwent emergent carotid artery ligation. Twenty others underwent nonemergent carotid artery test occlusion. Of these, 5 patients failed preoperative carotid artery balloon occlusion and 15 patients successfully underwent permanent carotid balloon occlusion. Although eight of these patients died of recurrent disease in less than 1 year, seven patients survived more than 1 year with two patients surviving more than 2 years. CONCLUSIONS: Preoperative carotid balloon occlusion predicted patients who could tolerate permanent occlusion. All patients eventually developed recurrent disease, but in 14 of the 15 patients, no hemorrhages occurred.
机译：目的/假设：要确定术前球囊闭塞在预测晚期复发性头颈鳞状细胞癌的颈动脉切除术安全性方面的价值。研究设计：对一家大型大学医院因复发性疾病而计划进行颈动脉切除术的所有病例进行回顾性图表审查。方法：如果包裹了颈动脉，则进行30分钟的非合并颈动脉球囊测试闭塞。如果患者对此耐受，则接受永久性颈动脉阻塞。结果：前瞻性评估了23例患者的切除情况。三人接受了紧急颈动脉结扎术。另外二十名接受了非紧急性颈动脉试验闭塞。其中，5例术前颈动脉球囊闭塞失败，15例成功进行永久性颈动脉球囊闭塞。尽管这些患者中有8例在不到1年的时间里死于复发性疾病，但7例患者的生存期超过1年，而2例患者的生存期超过2年。结论：术前颈动脉球囊闭塞可预测可耐受永久性闭塞的患者。所有患者最终都发展为复发性疾病，但在15例患者中有14例未发生出血。

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