颈淋巴清扫术后胸锁关节脱位、过度增大的研究进展

Research progress on sternoclavicular joint hypertrophy and dislocation following neck dissection

胸锁关节脱位、过度增大是颈淋巴清扫术后的一种远期并发症,表现为胸锁关节区的无痛性渐进性肿大。目前,对这一并发症的临床研究较少,仅有零星的文献报道。由于缺乏关注,胸锁关节脱位、过度增大常被误诊为恶性肿物的复发或转移,造成患者不必要的检查或手术。故本文对颈淋巴清扫术后胸锁关节脱位及过度增大的机制、临床表现、诊断、处理及预防等作一综述,以提高临床认识。

Sternoclavicular joint hypertrophy and dislocation is a rare long-term post-operative complication of neck dissection with the manifestation of a slowly growing painless hard lump at the sternoclavicular joint. Though the stemoclavicular joint enlargement and dislocation has been reported sporadically in English literature ,there is basically no common awareness of its corresponding clinical cases. The neglect results in an occasional misdiagnosis and dispensable operative intervention. This review summarizes the current knowledge regarding the mechanism, clinical manifestations, diagnosis, treatment and prevention of post-operative sternoctavicular joint hypertrophy and dislocation of neck dissection in order to improve clinicians＇ understanding about this complication.