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目的：研究会厌癌的颈淋巴结转移特点，指导临床治疗。方法：对５０例会厌癌的８５侧颈廓清大块进行了病理连续切片分析，经测量及显微镜观察，数据经χ２检验。结果：会厌癌的颈淋巴结转移率为４６％（２３／５０）；颈淋巴结转移率随淋巴结的直径增大而增加，随临床Ｎ分级增高而增加（Ｐ＜０．０１）；观察到临床Ｎ０患者有２８％发生了隐匿性转移。结论：会厌癌的颈淋巴结转移率较高并存在隐匿性转移，对会厌癌临床Ｎ０者应采取积极措施行选择性治疗，提高生存率。
Objective: To study the characteristics of cervical lymph node metastasis of epiglottis and to guide the clinical treatment. Methods: 50 cases of epiglottis carcinoma of the 85 sides of the neck clear large sections were analyzed by pathological sections, measured and microscopically observed, the data by χ2 test. Results: The rate of cervical lymph node metastasis was 46% (23/50) in patients with epiglottis. The rate of cervical lymph node metastasis increased with the increase of lymph node diameter and increased with the increase of clinical grade N (P <0.01). Clinical N0 Occlusion of 28% of patients occured. Conclusion: Metastatic carcinoma of the neck lymph node metastasis rate is high and there is occult metastasis, the clinical symptoms of patients with cancer or N0 should take positive measures of selective treatment, improve survival rate.