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作者回顾分析了30年间口、咽及喉部癌肿853例手术治疗的疗效。457例作了颈清扫。590例治疗初期临床上颈部淋巴结无转移;其中99例作了选择性颈清扫,而95例当临床上发现颈淋巴结转移时作了颈清扫。23%临床上颈部无淋巴结转移者组织学检查阳性,这在选择性颈清扫患者中还不及半数。此外,58%行选择性颈清扫者颈淋巴结无转移。作者选择性颈清扫组织学检查阳性者对比分析选择性颈清
The authors reviewed the efficacy of surgical treatment of 853 cases of cancer of the mouth, pharynx and larynx in 30 years. In 457 cases, neck dissection was performed. In 590 cases, there was no lymph node metastasis at the initial stage of clinical treatment; 99 cases had selective neck dissection, and 95 cases had neck dissection when cervical lymph node metastasis was found clinically. Twenty-three percent of clinically no-lymph node metastases in the neck were positive for histological examination, which is less than half of patients with selective neck dissection. In addition, 58% of patients with selective neck dissection had no metastatic lymph nodes. Selective neck dissection for histological examination positive contrastive analysis selective neck clearing