探讨颈胸联合肿瘤手术治疗的方法及要点。

回顾性分析郑州大学第一附属医院胸外科2012年7月至2015年4月收治的26例颈胸联合肿瘤的手术治疗方法及径路选择，其中5例选择颈胸联合T或L型切口切除肿瘤，8例行颈部领式切口加胸腔镜纵隔肿瘤切除术，2例行颈部领式切口加后外侧切口切除肿瘤，11例行颈部领式切口切除肿瘤。

该组无术后死亡病例，患者均顺利出院。24例患者术后随访1年，恢复良好；2例患者术后随访6个月，未诉不适。

颈胸联合肿瘤位置特殊，手术难度、风险较大，应根据肿瘤特点选择适合的手术方式和径路，以达到理想的治疗效果。

To discuss the methods and key points of surgical management of cervico-thoracic junctional tumor.

Twenty-six patients with cervico-thoracic junctional tumor undergoing surgical treatment in Department of Thoracic Surgery, The First Affiliated Hospital of Zhengzhou University between July 2012 to April 2015 were enrolled in the retrospective study. Among these 26 patients, 5 were performed T or L shape incision which combined cervical collar incision with median sternotomy, 8 underwent cervical collar incision and video-assisted thoracoscopic surgery, 2 received cervical collar incision and posterolateral thoracic incision, and cervical collar incision was conducted in the other 11 patients.

There was no death after operation in these patients, and all were successfully discharged. Twenty-four patients were followed up for 1 year, and all recovered well. The other 2 patients were followed up for 6 months, and there was no complaint of discomfort.

Cervico-thoracic junctional tumor has complex anatomical position, and there may exist higher difficulty and risk in surgery. The suitable operation method and surgical approach should be chosen according to tumor characteristics in order to achieve the ideal therapeutic effect.