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目的 选择口腔癌颈清手术方式。方法 分析 10 3例颈清手术及术后淋巴结转移情况。结果 10 3例中选用肩胛舌骨上清除术式 5 6例 ,术后淋巴结阳性者 12例 ,占 2 1% ;转移至平面Ⅰ者 9例 ,占 75 % ;平面Ⅱ者 3例 ,占 2 5 %。采用全颈根治性清除者 47例 ,术后淋巴结阳性 2 1例 ,占 44 % ,Ⅰ～Ⅴ平面均可见转移 ,但 90 %集中于Ⅰ～Ⅲ平面。结论 术前颈部淋巴结阴性者可选用肩胛舌骨上清除术。临床淋巴结阳性、肿瘤部位易于转移以及术后复发者应行全颈根治性清除
Objective To select the mode of neck surgery for oral cancer. Methods 103 cases of neck dissection and postoperative lymph node metastasis were analyzed. RESULTS: Of the 103 cases, 56 cases were treated with scapular hyoid hysterectomy. 12 cases were positive for postoperative lymph nodes, accounting for 2%; 9 cases were transferred to plane I, accounting for 75%; 3 cases were seen in plane II, accounting for 2 cases. 5 %. Of the 47 patients who underwent radical neck dissection, 21 were postoperative lymph nodes positive, accounting for 44%, and were visible on the I-V plane, but 90% were concentrated on the I-III plane. Conclusion The scapular hyoid hyoidectomy can be used for the negative cervical lymph nodes before surgery. Clinical lymph node positive, easy to metastasize tumor site and postoperative recurrence should be treated with radical neck dissection