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本文作者总结功能性颈淋巴结清除术(FND)治疗19例头颈部恶性肿瘤(非甲状腺癌)的经验,并对颈淋巴结清除术后颈部标本、颈动脉鞘和胸锁乳突肌筋膜作前瞻性病理组织学检查。19例FND标本中,淋巴结阳性9例(47.4％),而颈动脉鞘和胸锁乳实肌筋膜全部无肿瘤残留。随诊8～24个月,全组病例无颈部淋巴结复发征。术后颈部外形和功能良好(作者认为FND适用于N_0,N_1,N_2和部分N_3病例,只要病例选择恰当,FND可望同RND一样,可达到根治颈部淋巴结的目的。
The authors summarize the experience of functional neck dissection (FND) in the treatment of 19 head and neck malignancies (non-thyroid cancer) and neck specimens, carotid sheath, and sternocleidomastoid fascia after neck dissection. For prospective histopathological examination. Among the 19 FND specimens, 9 (47.4%) were positive for lymph nodes, while none of the carotid artery sheaths and sternocleaves myofascial muscles had residual tumors. Followed up for 8 to 24 months, the entire group of patients without cervical lymph node recurrence signs. After the operation, the appearance and function of the neck is good. (The author believes that FND is suitable for N_0, N_1, N_2, and some N_3 cases. As long as the case is properly selected, FND is expected to be the same as RND, which can achieve the goal of radical cervical lymph nodes.