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双侧颈淋巴清扫术是治疗口腔颌面部恶性肿瘤双侧颈淋巴转移的最重要的方法之一。1979年12月～1987年12月,我们施行双侧颈淋巴清扫术21例,现报道如下。临床资料21例中男16例,女5例。年龄32～69岁。其中舌体鳞癌9例,软腭鳞癌5例,口底鳞癌5例,下颌骨造釉细胞癌1例,上颌骨鳞癌1例。14例可行TNM 分类,T_3 3例,T_411例,N_0 1例,N_1 1例,N_2 8例;N_3 4例,全部病例均为M_0。临床分期均属于第Ⅳ期。手术方法的选择。同期双侧颈淋巴清扫术14例,分期双侧颈淋巴清扫术7例。21例中6
Bilateral neck dissection is one of the most important methods for the treatment of bilateral cervical lymph node metastases in oral and maxillofacial malignancies. From December 1979 to December 1987, we performed bilateral neck dissection in 21 cases, which are reported below. There were 21 males and 5 females in 21 clinical data. Age 32 to 69 years old. Among them, 9 cases had tongue squamous cell carcinoma, 5 cases of soft orbital squamous cell carcinoma, 5 cases of floor squamous cell carcinoma, 1 case of mandibular ameloblastoma, and 1 case of maxillary squamous cell carcinoma. TNM classification was possible in 14 cases, T_3 3 cases, T_411 cases, N_0 1 case, N_1 1 case, N_2 8 cases; N_3 4 cases, all cases were M_0. The clinical stages all belong to stage IV. The choice of surgical method. In the same period, bilateral neck dissection was performed in 14 cases, and bilateral neck dissection was performed in 7 cases. In 21 cases 6