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本文对病人的原发灶经初步治疗(手术、放疗或联合治疗)控制后,分析随意选择性、治疗性及延迟性颈廓清术的效果。以上各种手术经病理检查证实有颈部转移者分别为27％(80/295)、67％(158/237)及75％(70/102)。如果在颈部转移还在隐蔽时,即用手术切除,可以增加病人的存活率。病人有15％～20％或以上有隐蔽性颈转移偏向者,如用手术治疗,包括随意选择性颈廓清术,有增加存活率的可能性。
This article analyzes the effects of arbitrarily selective, therapeutic, and delayed neck dissection after controlling the patient’s primary lesion with initial treatment (surgery, radiotherapy, or combination therapy). All the above operations were pathologically confirmed to have cervical metastases were 27% (80/295), 67% (158/237) and 75% (70/102). If the cervical metastasis is still hidden, surgical resection can increase the patient’s survival rate. Patients with 15% to 20% or more of patients with concealed cervical metastases tend to have increased survival if they are treated with surgery, including random selective neck dissection.