总结了我科1981～1989年施行的双侧(根治性+功能性)颈淋巴清扫术46例。随访率100％。随访期最长8年。3年、5年生存率分别为48.7％,40.9％。已死亡的28例中,局部复发17例,功能性颈清侧复发仅1例。文章就该术式的临床实用价值、安全性、适应证等诸方面作出评价。 Summarized 46 cases of bilateral (curative + functional) neck dissection performed in our department from 1981 to 1989. Follow-up rate is 100%. The follow-up period is up to 8 years. The 3-year and 5-year survival rates were 48.7% and 40.9%, respectively. Of the 28 patients who had died, 17 had local recurrence, and only one had functional recurrent neck resection. The article evaluated the clinical practical value, safety, and indications of the surgical procedure.