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口腔颌面部恶性肿瘤颈部淋巴结转移较为常见。颈部淋巴结根治性切除术在口腔颌面部恶性肿瘤的治疗中已广泛应用,对于减少术后复发、延长病人的生命有明显意义。本文通过对15例根治性颈清扫术中淋巴结的检出数及阳性率进行分析,术中发现淋巴结120个,其中:颌下淋巴结41个,颈深上淋巴结44个,额部淋巴结21个,颈深中淋巴结9个,颈深下淋巴结3个,颈后区淋巴结2个。病检阳性率依次为:颌下淋巴结19.51%(8/41),颈深上淋巴结11.36%(5/44)。并对根治性颈清扫术与功能性颈清扫术的适应证及利弊提出自己观点。
Oral and maxillofacial malignancy neck lymph node metastasis is more common. Radical resection of cervical lymph nodes in the treatment of oral and maxillofacial malignancies has been widely used for reducing postoperative recurrence and prolonging the life of patients has obvious significance. In this paper, 15 cases of radical neck dissection in the detection of lymph nodes and the positive rate was analyzed, found in the operation of 120 lymph nodes, including: submaxillary lymph nodes 41, cervical deep lymph nodes 44, frontal lymph nodes 21, 9 deep cervical lymph nodes, 3 deep cervical lymph nodes, 2 posterior cervical lymph nodes. The positive rates of pathological examination were as follows: 19.51% (8/41) of submandibular lymph nodes, 11.36% (5/44) of upper cervical lymph nodes. And put forward their views on the indications and advantages and disadvantages of radical neck dissection and functional neck dissection.