目的探讨颈胸联合部肿瘤手术及并发症处理的有关技术问题。方法16例颈胸联合部肿瘤施行手术。颈正中加胸骨正中切口4例,颈正中、胸骨次全劈开(第3前肋间平面以上)和胸部前外侧联合切口(hemi-shell incision,半蛤壳状切口)12例。肿瘤完全切除13例,姑息性减状切除3例。结果全组无手术死亡,1例原始神经外胚层瘤术后18、26个月分别转移至右肺尖、心包,已行2次、3次手术。随访4~96个月,晚期死亡3例,死于肿瘤复发。结论颈胸联合部肿瘤组织来源呈多样化,以神经源性肿瘤多见;一经确诊应争取手术治疗;半蛤壳切口创伤稍大,但术野清晰,利于防止副损伤;肿瘤切除时要防止大血管的损伤。注意气管的悬吊复位,利于保持气管通畅。 Objective To explore the related technical problems in the treatment of complications of the operation of the neck and thoracic tumors. Methods Twenty - six patients with cervical and thoracic tumors underwent surgery. In the middle of the neck, there were 4 cases of median incision of the sternum, middle of the neck, subtotal sternotomy (above the third anterior intercostal plane) and hemi-shell incision (hemithrombus incision). Tumor resection in 13 cases, palliative resection in 3 cases. Results All patients died without surgery. One patient with primitive neuroectodermal tumor was transferred to the right apex and pericardium respectively 18 and 26 months after operation. The operation was performed twice or three times. Followed up for 4 to 96 months, 3 died in late stage and died of tumor recurrence. Conclusion The sources of tumor tissue in the neck and thoracic junction are diversified, which are more common in neurogenic tumors. Surgical treatment should be given after diagnosis. The wounds of the clam shell incision are slightly larger, but the surgical field is clear, which will help to prevent the secondary injury. Big blood vessel damage. Note the suspension of the trachea reset, help maintain tracheal patency.