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作者对1975～1988年收治的1 351例(男1 304,女47)喉癌行喉部分切除术后颈淋巴结复发行回顾性分析。水平喉部分切除243例;前-侧式喉部分切除605例;声带切除术488例;侧式(垂直)喉部分切除52例;额式喉部分切除35例;次全切除27例。T_3行扩大的水平喉部分切除32例,扩大的前-侧式喉部分切除42例。术后发生颈淋巴转移共134例为9.9%,其中40例入院时已伴颈部转移。术后第1年内复发58例,1年后复发32例,6年后复发2例和16年后1例。早期转移73.1%(98例),晚期转移26.7%(36例)。82.1%(110例)转移发生在患侧,8.2%(11例)发生在两侧,1.7
The authors retrospectively analyzed the cervical lymph node reissue after laryngectomy for 1,351 cases (male 1,304, female 47) admitted from 1975 to 1988. A total of 243 patients underwent partial resection of the horizontal larynx; 605 patients underwent partial resection of the anterior-lateral larynx; 488 patients underwent vocal cord resection; 52 patients underwent lateral (vertical) partial excision of the larynx; 35 patients under partial frontal larynx resection; 27 patients underwent subtotal resection. T_3 had enlarged horizontal larynx partial resection in 32 cases and enlarged anterior-lateral larynx resection in 42 cases. A total of 134 cases of cervical lymph node metastasis occurred in 9.9% of the cases, of which 40 cases had neck metastasis at the time of admission. 58 cases relapsed within the first year after surgery, 32 cases relapsed after 1 year, 2 cases relapsed after 6 years and 1 case after 16 years. Early metastasis was 73.1% (98 cases) and advanced metastasis was 26.7% (36 cases). 82.1% (110 cases) of metastases took place on the affected side, and 8.2% (11 cases) occurred on both sides, 1.7