摘要
对声门上型喉癌颈部无肿大转移淋巴结患者，进行回顾性分析，探讨适宜的处理方案。我院自１９７６年至１９９０年共外科治疗１６２例Ｔ１￣４Ｎ０患者。原发处进行各类学术治疗，颈部做上颈淋巴结切除术。有１３例冰冻病理检查阳性，即做颈清扫术。１４９例病理阴性者观察随诊５年。颈部复发或转移者１５例，颈部失败率为１０．１％。全组５年生存率：Ｔ１Ｎ０为９２．８％，Ｔ２Ｎ０为８６．５％，Ｔ３Ｎ０为６９．７％。
To assess whether the elective neck dissection as a routine management in the N0 supraglottic carcinoma could be avoided. One hundred and sixty-two patients with a classification of T1~4N0M0, who received surgery between 1976 ~ 1990 were chosen for this study. An upper neck (level Ⅱ ) dissection and frozen section was designed for the assessment of status of neck nodes. Thirteen patients, whose lymph nodes proved to harbor metastases on frozen section, underwent radical neck dissection and were excluded from this study. Of the 149 patients, whose upper neck nodes were negative histologically, fifteen developed neck metastasis within a 5 year follow-up. The five year survival of 149 cases was 73. 8% by direct method and 81. 2% by life table method. The conclusion: limited selective upper neck dissection as a diagnostic procedure seems to be the proper management of choice for N0 neck. Elective neck dissection should not be used as routine operation.
出处
《耳鼻咽喉（头颈外科）》
1997年第1期4-8,共5页
Chinese Arch Otolaryngology-Head Neck Surg
关键词
头部肿瘤
颈部肿瘤
喉肿瘤
鳞癌
上皮细胞癌
Laryngeal neoplasms Carcinoma,squamous cell Lymphatic metastasis Surgery,operative
