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为研究头颈部癌原发部位复发(RPS)与颈淋巴结组织病理学的关系,对1973～1986未经治疗的头颈部 鳞癌行颈廓清术511例作了回顾。其中289例同时作了原发癌切除及全颈廓清术。根据原发部位,术式有复合切除术,喉切除术(部分或全切除术),咽喉切除术。颈廓清时尽量保留副神经,颈内静脉在双侧清扫时保留病变较轻的一侧。除45例切缘病理学阳性并术后放疗者外,仅就其244例切缘阴性,随访至少5年者作了统计分析。
In order to study the relationship between primary site recurrence (RPS) and cervical histopathology in head and neck cancer, a retrospective review of 511 neck and neck dissections of untreated head and neck squamous cell carcinoma from 1973 to 1986 was conducted. Among them, 289 cases had primary cancer resection and neck dissection. According to the primary site, there were combined resections, laryngectomy (partial or total resection), and laryngectomy. When the neck is clear, the accessory nerves are kept as far as possible, and the internal jugular veins remain on the lighter side of the lesion when they are bilaterally cleaned. Except for 45 patients with positive margin pathology and postoperative radiotherapy, only 244 cases with negative margins were followed up for at least 5 years.