摘要
目的 探讨8保留式功能性颈清扫术在口腔黏膜鳞癌治疗中的应用。方法 对84例口腔黏膜鳞癌患者在原发灶根治的同时施行功能性颈清扫术,其中 8保留式功能性颈清扫术11例,3保留式功能性颈清扫术刀例,比较不同手术方式的颈部淋巴结复发率和术区皮肤感觉保存情况。结果 随访10～67个月,8保留式组无颈部淋巴结复发;3保留式组颈部淋巴结复发2例,复发率4.08％,差异无统计学意义。术后3个月复查,术区皮肤感觉良好者,前组7例,后组为0(P<0.01)。结论8保留式功能性颈清扫术不会增加颈部淋巴结复发率,可减少术后并发症,有临床应用价值。
Objective To evaluate the modified functional neck dissection in head and neck cancer. Methods 84 cases of head and neck cancer were treated by modified functional neck dissection( 11 cases), and general functional neck dissection(73 cases) . The recurrent rate of cervical lymph node and the sensation of skin were assessed. Results The recurrent rates of cervical lymph node were 4.35 % and 5.85 % , respectively, ( P > 0.05) in patients who accepted modified functional neck dissection and general functional neck dissection. The sensation of skin in patients who accepted modified functional neck dissection was better than that of those who accepted general functional neck dissection (P<0.01). Conclusion Modified functional neck dissection was helpful to reduce postoperative complications, but it did not increase recurrent rate of cervical lymph node.
出处
《口腔医学》
CAS
2003年第5期286-287,共2页
Stomatology
