摘要
为探讨声门上型喉癌颈部淋巴结转移更好的处理方法，回顾性分析１９７９年～１９９０年１１１例声门上型喉癌ｃＴ１－４Ｎ１患者病例资料，通过对颈部淋巴结的处理方式与转移或复发部位之间关系的探讨，发现Ｎ１病变对侧颈部淋巴结的潜在性转移有较高比例，其中尤以同侧颈清扫标本阳性的Ｔ３、４病变明显，为３８．６％。单纯手术组对侧颈部淋巴结转移率高于放疗＋手术组，经统计学处理差异有显著性，提示放疗对颈部淋巴结潜在转移有一定的控制作用。
Onehundredandelevencasesofsupragloticsquamouscelcancer(T1-4N1)wereretro-spectivelyanalysed.Theresultshowedthat:1.the3yearsurvivalratewas72%(80/111);2,therateofcontralateralnecknodemetastasisafteripsilateralRNDwas17.9%,andthecasesofT3-4withpositivehistologicfindingsofneckdissectionsampleshadahigherrateofcontralateralnecknodemetastasis(38.6%);3,thecontralateralnecknodemetastasisrate(26.1%)inthegroupwithsurgeryalonewassignificantlyhigherthanthat(7.1%)inthegroupwithpreoperativeradiation(P<0.05).Theauthorsdrawtheconclusionthatcontralateralnecknodemetastasisisahighriskfactorforre-currenceofN1supragloticlaryngealcancerandthatpreoperativeradiationmaybeusefulincontrol-lingsubclinicalmetastasis.
出处
《中华耳鼻咽喉科杂志》
CSCD
1996年第5期307-309,共3页
Chinese Journal of Otorhinolaryngology
